| convenio | data_pagamento | numero_protocolo | matricula | nome | numero_guia | ng_prest | senha_guia | codigo_produto | descricao_produto | valor_apresentado | valor_pago | valor_glosa | descricao_motivo | codigo_motivo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12227417917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.0000 | 0.2158 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3952 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1877 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6920 | 0.3080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00126 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.2451 | 0.3649 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4159 | 0.1741 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4190 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 000501 | OXIGENIO | 71.4200 | 57.9230 | 13.4970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5800 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 151.9400 | 145.8639 | 6.0761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 1.0678 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.0600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1310 | 0.1990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2569 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 27.0600 | 13.5306 | 13.5294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 1.6800 | 1.3000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3513 | 0.0487 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.9400 | 0.7800 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00991 | ESPIRONOLACTONA 25 MG CP VO UN | 0.4800 | 0.3900 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1700 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 708d68a4ae1999a6665a776a342e110c | MARIA | NULL | NULL | 12263391414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12309982210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9f58e9eb8338c79f6508d26fad4f4085 | NEIRIANNY | NULL | NULL | 12343393719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 68e4fbc1f7689627e00a78630177dce9 | NOEMIA | NULL | NULL | 12253279911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 65db4ed809d322b6d98cf95b97ed7565 | RICARDO | NULL | NULL | 12321625414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1d22a5a24382b0e8f9284a8113b49b1d | ROSA | NULL | NULL | 12325744816 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 98892b16dedcb51676bee7fb706388c5 | SEBASTIANA | NULL | NULL | 12309073211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 123e0734cfcdf6293a655fa0e522a813 | SERGIO | NULL | NULL | 12312433416 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 827a08c875657a4e48def5c98fecdfb3 | UIARA | NULL | NULL | 12313919016 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2b7fa68849020525c5658d9f96623f14 | VICTOR | NULL | NULL | 12323719510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12268167617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12255114115 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289563317 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c0054d45e1520f78140da82b23d33a5e | WANDA | NULL | NULL | 12318792410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12281447213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ab1a041716bd33f40deac442fa25f48c | WILZE | NULL | NULL | 12336062117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2900 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 7.2400 | 6.0298 | 1.2102 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0172 | 0.0328 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0170 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.7669 | 1.8431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4340 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 78.3758 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 37025 | PROPOFOL 1% SI IV ML | 20.0000 | 15.0000 | 5.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9797 | 0.3003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9797 | 0.3003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3390 | 0.1710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.9440 | 0.7860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.6320 | 1.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.6300 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.8000 | 0.3100 | 1.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.0000 | 0.5200 | 2.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.5400 | 2.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1380 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0857 | 0.3643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9800 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5144 | 0.1556 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 0.3414 | 1.0286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3800 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 2.2578 | 4.5322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9862 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2995 | 0.0305 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 3.4086 | 3.4114 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 3.4600 | 2.9800 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3250 | 0.4750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.2379 | 0.2021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 15.8300 | 15.8250 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0600 | 2.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.1400 | 0.0680 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.9119 | 0.6381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1340 | 0.3960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4270 | 0.5730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.2800 | 0.0000 | 1.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.4000 | 0.0000 | 1.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1824 | 0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.3800 | 0.3076 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51419 | FILTRO DE BARREIRA | 24.0000 | 16.0000 | 8.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1735 | 0.1565 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.1392 | 10.1408 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1415 | 0.5885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 8.2919 | 1.1781 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2170 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 59089377bef2b589e3bcae928acbb062 | ZILDA | NULL | NULL | 12288781320 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276782325 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 19216 | SEVOFLURANO 1 ML/ML (100%) SL IN M | 0.0000 | 301.8000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07722 | DRENO DE SUCÇAO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.7483 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1806 | 0.0094 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 11193 | CLOREXIDINA 2 % ST TP ML | 1.0394 | 1.0640 | -0.2640 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4256 | 0.5632 | -0.1632 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.1350 | 0.3750 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51620 | Modulo Em Pó De Fibras Solúveis | 2.4400 | 0.6480 | 1.7920 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51620 | Modulo Em Pó De Fibras Solúveis | 2.4400 | 0.6480 | 1.7920 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 6.3760 | 17.6240 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54172 | DIETA DIABETES 1.5 KCAL/ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54157 | EQUIPO P/ DIETA ENTERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 39030016 | Dissecção de Veias ou Colocação Cateter Venoso | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 000445 | TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 201006 | TAXA DE SALA PORTE V | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00094 | ABOCATH N 14 A 22 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1300 | NULL | EXAME SEM REGISTRO DE EXECUCAO | 2703 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2700 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 0.0000 | 19.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c1f57a943a1055ad263b610d99977b67 | ANITA | NULL | NULL | 12248276839 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.0768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8e33f9f53bac138de65049d2befe0f99 | DELIO | NULL | NULL | 12310009231 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 57258 | FUMARATO DE QUETIAPINA 25 MG CA V | 0.0000 | 1.2471 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 24.1854 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 90.3990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12281475030 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12274165832 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 5.2780 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3672 | 2.3628 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.3340 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 28311 | TORNEIRINHA DE 3 VIAS DESCARTAVEL UN | 2.1000 | 0.4201 | 1.6799 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3476 | 1.9324 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.1100 | 2.9304 | 1.1796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 26.3400 | 26.3375 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 26.3400 | 26.3375 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 2.0560 | 0.8240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2320 | 0.4380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4100 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 0.0000 | 137.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7943 | 0.7957 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2767 | 0.0433 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2403 | 0.2397 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 1.6700 | 1.6677 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.1700 | 0.8460 | 0.3240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.7200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 7.2400 | 6.8100 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3417 | 0.0083 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2354 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5130 | 0.2570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5110 | 0.2590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8340 | 0.8360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7220 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4000 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.2011 | 0.0789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51584 | ESPARADRAPO MICROPORE | 0.1300 | 0.1000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0373 | 0.0127 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4800 | 2.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.3947 | 0.5253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.2327 | 1.6873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.2327 | 1.6873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.3491 | 2.5309 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2060 | 0.7940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8330 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3800 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0263 | 0.1737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3130 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7e6117ac94f603a115a3c16972503f7a | ABADIA | NULL | NULL | 12309751212 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325708417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321662614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f04c615af679993e29c1dda39dc5132f | DANIELY | NULL | NULL | 12267206318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298088819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12319636519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308838310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12254384410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fddb69293250e3bdcd785c8c2bb666d0 | ELEUZA | NULL | NULL | 12320132918 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6d3eecab3cda4b109d251db6a0071b8f | ELIVANE | NULL | NULL | 12309240516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320793415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12330558517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6cd53673cf3391852cb409387aba4195 | IARA | NULL | NULL | 12298119915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 77abe916a4e8441d72ab4efadd817fdc | IDELMA | NULL | NULL | 12275593118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12343340312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264236411 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 01da4184a07e70b560e2bdfd88fa1efb | MARCELO | NULL | NULL | 12321794918 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a04b3e81d3fd469a64fe82d4cf08744a | MARIA | NULL | NULL | 12267210016 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ca54d03f7ddea0e48557d314330f712f | MARIA | NULL | NULL | 12309763410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12287641218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 174e0e9ca2686c6bf7afeb5295c13e21 | MARIA | NULL | NULL | 12276760711 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 17.5396 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 1.2978 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24457 | FIO MONONYLON 4-0 C/ AGULHA 2,0 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 16.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 60f97c801a1d271daafad302f72f1214 | MARCOS | NULL | NULL | 12329560737 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 54780 | ADENOSINA 3 MG/ML 2 ML SI IV AP | 0.0000 | 35.5773 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0118 | 0.5782 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1323 | 0.0477 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9388 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1263 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 32050054 | RX Tórax: P. A. - Lat | 20.2100 | 10.1053 | 10.1047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6801 | 0.2799 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3603 | 0.5597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5520 | 0.4080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5520 | 0.4080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 54687 | IODOPOVIDONA SD TP ML | 0.2000 | 0.0800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.5800 | 8.5700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 3.6000 | 3.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2370 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2708 | 0.3192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 8.9075 | 8.9025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6840 | 0.3160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 1.1305 | 2.2695 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3735 | 0.2165 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5354 | 1.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.0252 | 0.2548 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.8300 | 2.4597 | 0.3703 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 2.1355 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5661 | 0.0339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1308 | 0.0692 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52391 | SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9698 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.8958 | 0.0242 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.2700 | 0.1730 | 0.0970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.0400 | 0.0000 | 2.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.0000 | 0.1560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 58661 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML | 0.0000 | 20.1180 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 60836 | KIT PARA ULTRASSONOGRAFIA INTRACORO | 0.0000 | 3597.8799 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2671 | 0.0629 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d030c2f87247eced25fceb7f06032432 | FLORISMAR | NULL | NULL | 12343582618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2fb5ec47cedb46e5e8523ea81ea960fd | JURACY | NULL | NULL | 12341307014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 536315bfe93c4ada7aaf449e21417f4b | SIMONE | NULL | NULL | 12343439916 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51241 | AGULHA 123X45 | 1.0600 | 0.0000 | 1.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51241 | AGULHA 123X45 | 1.0400 | 0.0000 | 1.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1276 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1228 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 877d203495b961dbe628d0b7639b2706 | WELLESLEY | NULL | NULL | 12309669721 | 999999 | INSUMOS 40080200 | 0.0000 | 0.0000 | NULL | MATERIAL INVALIDO | 2001 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2560 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0986 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.4400 | 0.4352 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7115 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.8000 | 1.7961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.8000 | 1.7961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 7.8900 | 7.8894 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 40.5600 | 40.5568 | 0.0032 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 60.8400 | 60.8352 | 0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 21.3900 | 22.0800 | -1.3800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0768 | -0.0268 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0512 | -0.0012 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5360 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5360 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 15946 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.7300 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 5.7900 | 5.7880 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1779 | 0.0121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.3844 | -0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 13.3300 | 13.3287 | 0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 1.8700 | 1.8674 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 24.0000 | 24.0000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5922 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.8900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 2.1400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 2.1312 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 0.5500 | 0.5458 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9456 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 51039 | CITALOPRAN 20 MG CP VO UN | 2.9000 | 2.9020 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6330 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 52956 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN | 7.4600 | 7.4600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 0.4900 | 0.4895 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6889 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 2.2100 | 1.3386 | 0.8714 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 85.0706 | 85.1440 | -11.7440 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 85.0706 | 85.1440 | -11.7440 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3290 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7645 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0300 | 0.0264 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 11.6900 | 5.6610 | 6.0290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.1290 | 1.7700 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 4.1200 | 4.1200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.6248 | 0.2855 | 0.3145 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3600 | 0.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6700 | 0.6686 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51379 | SERINGA DESC 05 ML UN | 3.6981 | 1.4127 | 1.3773 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51241 | AGULHA 123X45 | 1.7889 | 1.2108 | 0.0592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.7953 | 0.7937 | 0.4063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.0953 | 0.9921 | 0.5079 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 3.1591 | 1.6536 | 0.9764 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6800 | 1.1263 | 0.5537 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 15.8300 | 15.8300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6889 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3293 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2095 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 1.0154 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 68.2600 | 68.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7149 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5460 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0916 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2477 | 0.2723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4028 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2788 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.3800 | 0.0000 | 1.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3712 | 0.3328 | -0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.4800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 1.4800 | 1.4797 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1586 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4409 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2442 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.4700 | 0.4692 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6900 | 0.5286 | 0.1614 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 5.1000 | 5.0984 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 16961 | CLOPIDOGREL 75 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 16961 | CLOPIDOGREL 75 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0360 | 0.0640 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.0000 | 16.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 40010031 | Troca Valvar Única Valvoplastia | 0.0000 | 272.0726 | NULL | COBRANCA DE HONORARIOS EM DUPLICIDADE | 2607 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.9609 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 1.0792 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51508 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP | 0.0000 | 40.2400 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51508 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP | 0.0000 | 40.2400 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 0.0000 | 2.4700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 33120 | TENOXICAM 20 MG + DIL. 2 ML PO IM | 0.0000 | 14.3258 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2768 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 0.0000 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4a09a922b258fac6f1e8160699bec80d | ROMUALDO | NULL | NULL | 12308843211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 30376 | BROMETO DE IPRATROPIO 0,25MG/ML SL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 33227 | LUVA CIRURGICA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 1.2970 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 17906 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 80.2424 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 61.4100 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 49.1280 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6600 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6681 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1763 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1763 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7890 | 0.8810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2450 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2450 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.9820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 1.1940 | 0.5960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8970 | 0.7730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4635 | 0.0165 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9256 | 0.0344 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 2.7768 | 0.1032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 000441 | TAXA DE DELEUCOTIZAÇÃO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 000445 | TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 0.0000 | 1.5900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 0.0000 | 14.8724 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 0.0000 | 81.1100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01656 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.3900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 6.1517 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 1.4508 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 0.0000 | 2.4700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 2.5400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.4000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52769 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 1129T EV | 0.0000 | 6.1596 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 53028 | FIO MARCA PASSO E.P15/MP.285 UN | 0.0000 | 43.8600 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 53385 | PROTESE VALVULAR BIOLOGICA | 0.0000 | 0.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54687 | IODOPOVIDONA SD TP ML | 0.0000 | 0.5100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00651 | GENTAMICINA 80 MG 2 ML SI IQ IM IV OU AP | 0.0000 | 1.2500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 07836 | MONOCRYL Plastica | 0.0000 | 44.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 1.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2550 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 0.0000 | 3.8238 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12227411010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 18716 | RISPERIDONA 1 MG CP VO UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.2680 | 0.4020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 20.7600 | 20.7511 | 0.0089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.4080 | 0.1020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8162 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 1840.0000 | 1314.2800 | 525.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3690 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3690 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.5951 | 0.0449 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8600 | 1.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 000501 | OXIGENIO | 1.4800 | 1.2020 | 0.2780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 000501 | OXIGENIO | 71.4200 | 57.9230 | 13.4970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 33685 | LEVOFLOXACINO 500 MG CP VO UN | 0.0000 | 5.2190 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 9.4080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1810 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1770 | 0.1230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.0700 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3850 | 0.6150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.6430 | 1.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2569 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.6600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.9400 | 0.7700 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00991 | ESPIRONOLACTONA 25 MG CP VO UN | 0.4800 | 0.3800 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5508 | 0.3892 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7400 | 0.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7400 | 0.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.3952 | 1.0548 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267191019 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6c1b0dc30f01fa6a203313c8e49e56d1 | MARIO | NULL | NULL | 12270524619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5ea6a6002c8e83f6d421220320b9a7dd | MARLENE | NULL | NULL | 12308932213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4cb90545c463bbceac17b9e2b3ad129b | MARTA | NULL | NULL | 12330110610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 448b0502e59a7d5866b47b20dbb6c209 | OSCAR | NULL | NULL | 12278933812 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 07724917b5d40fffbf7ad081d9c8d8a1 | PEDRO | NULL | NULL | 12276567515 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | de10d5d4acd898d8ba1f4751ca36663b | PERCIL | NULL | NULL | 12318231919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8c9ac91636a34b362c1fc481713213b3 | RAFAEL | NULL | NULL | 12277498619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fa638ada47219e0be3006c13639bdd38 | RODRIGO | NULL | NULL | 12309235211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0a4e6acd54436749555ad0d76d5be7eb | SARAH | NULL | NULL | 12270717811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1839a97d370fa3dd71db825591f2d4f4 | SUELI | NULL | NULL | 12263377219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288772911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 12341695710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4d5f633dc015b79ba2b1c085c26378a0 | ZELIA | NULL | NULL | 12259537011 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 59089377bef2b589e3bcae928acbb062 | ZILDA | NULL | NULL | 12288769818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.4696 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51314 | ZOLPIDEM 10 MG CP VO UN | 0.0000 | 1.2796 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3039 | 0.5761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7621 | 1.1779 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9500 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2080 | 0.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.2357 | 0.9443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00031 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.1573 | 0.2227 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0430 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.0047 | 0.7653 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2472 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.9732 | 0.4268 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 37025 | PROPOFOL 1% SI IV ML | 20.0000 | 15.0000 | 5.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 1.0900 | 0.8400 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 000501 | OXIGENIO | 68.4400 | 54.7220 | 13.7180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3040 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1630 | 0.3770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00555 | LAMINA BISTURI N 10, 11,12 E 15 UN | 0.5500 | 0.2755 | 0.2745 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2199 | 0.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.6300 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.3990 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.5500 | 2.6500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.5400 | 2.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.5296 | 1.0604 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.5294 | 1.0606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2065 | 0.2435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8370 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1380 | 0.3920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00125 | LUVA CIRURGICA UN | 4.3400 | 1.8575 | 2.4825 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4526 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.3477 | 0.4123 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0409 | 0.0091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0409 | 0.0091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 6.8123 | 6.8177 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4162 | 0.0638 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.8000 | 0.0400 | 1.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0600 | 2.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2435 | 0.0765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.9119 | 0.6381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5999 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.3240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2810 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1300 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1415 | 0.5885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9391 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.5900 | 0.6235 | -0.0335 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20370 | SONDA URETRAL Nş 12 UN | 0.7600 | 0.7558 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 9.4700 | 9.4690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9840 | -0.0840 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51620 | Modulo Em Pó De Fibras Solúveis | 2.4400 | 0.6480 | 1.7920 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 22.9200 | 0.0000 | 22.9200 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 24.5600 | 0.0000 | 24.5600 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 24.5600 | 0.0000 | 24.5600 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00020010 | Visita Hospitalar (Paciente Internado) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.3600 | 0.0000 | 1.3600 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 52941 | Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 201006 | TAXA DE SALA PORTE V | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 54687 | IODOPOVIDONA SD TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00938 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00123 | LUVA CIRURGICA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00094 | ABOCATH N 14 A 22 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00020010 | Visita Hospitalar (Paciente Internado) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 0.1000 | NULL | COBRANCA DE TAXA DE OBSERVACAO EM PRONTO SOCORRO SEM O REGISTRO DA PERMANENCIA | 2410 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 02203 | OLEO MINERAL 100% SO VO ML | 3.7600 | 3.5310 | 0.2290 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8e33f9f53bac138de65049d2befe0f99 | DELIO | NULL | NULL | 12310009231 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 60.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 37680 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 | 0.0000 | 7.4555 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12274165832 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 0.6661 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 41.9770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.3340 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 13.6200 | 0.0000 | 13.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 38.4000 | 36.2600 | 2.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4890 | 0.1810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5610 | 0.8490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1090 | 0.0910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6300 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6070 | 0.3930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6070 | 0.3930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 1.6700 | 1.6677 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7230 | 0.2770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7230 | 0.2770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 000501 | OXIGENIO | 3.7200 | 1.3400 | 2.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 2.4708 | 0.7092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.4474 | 1.4526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9600 | 0.0000 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7220 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3970 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 0.2967 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0300 | 0.0293 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2633 | 0.0067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1990 | 0.0610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1990 | 0.0610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3560 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 2.9700 | 2.1770 | 0.7930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.2327 | 1.6873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0200 | 0.0000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1462 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3800 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3800 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5149 | 0.0851 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3002 | 0.0998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8b7bf7712d6e4a41a32e467810dd482e | ALICE | NULL | NULL | 12342852414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f445393bd2834d988f2d39c926344220 | ANA | NULL | NULL | 12321714013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311063517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a43f4cb8ae841334cbc8affc4686a07a | BEATRIZ | NULL | NULL | 12263469310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 208c986132a3be91dda988dc95495541 | CAIRO | NULL | NULL | 12319078113 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ebc895b45019bebdc164c91df771e94b | CLEONICE | NULL | NULL | 12321673814 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1fe67b60ab6af48fda64ca2aefe44fe3 | DALVACY | NULL | NULL | 12336525012 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7c234093a25370893c5fdddc5d5d944f | DOROTY | NULL | NULL | 12312532011 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 58d2a778c9976f80e691e7dcd326485d | ENI | NULL | NULL | 12309480316 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7ae421d1d2a022f8fd95a9ff2b6204b2 | EPITACIO | NULL | NULL | 12252437014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325793810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2d48865902bf26ebe450b21d9cc5181e | HAYAO | NULL | NULL | 12317609915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12285175819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12309146013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b31485d7dfb777cf11b9c29050b33efb | LINDOMAR | NULL | NULL | 12276779419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dce938bc498be247a2320c302f45eb59 | LUCAS | NULL | NULL | 12323803112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8f0fdc238249bc20de2dc495fc398071 | LUCIANO | NULL | NULL | 12276779517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254415713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0218c4f6fb729407e3eec97584d485b2 | MARCIA | NULL | NULL | 12255453719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 92e6ef003a084646cc771615534eee70 | MARIA | NULL | NULL | 12343400312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5ba6ae9ca88b662fc86f4b7640f2d8fe | MARIA | NULL | NULL | 12320797316 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.0000 | 0.2158 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 30155 | ANLODIPINO 5 MG CP VO UN | 0.0000 | 0.4752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 3.6892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 55107 | MORFINA 0,2 MG 1 ML SI IV PE IT FR | 0.0000 | 8.2890 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.5296 | 1.0204 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 3.0590 | 2.0410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2170 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0100 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1500 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1263 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9826 | 0.4274 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 000501 | OXIGENIO | 339.2600 | 271.2610 | 67.9990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.0202 | 0.4198 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3603 | 0.5597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5520 | 0.4080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1830 | 1.5670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 11.2600 | 6.5450 | 4.7150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2248 | 0.2552 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2243 | 0.2557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4825 | 0.9675 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 3.6000 | 3.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7667 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1540 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 1.1305 | 2.2695 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 1.1305 | 2.2695 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00093 | SERINGA DESC 60 ML UN | 7.6800 | 3.8400 | 3.8400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54653 | DERSANI LC TP ML | 19.4000 | 5.8200 | 13.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7836 | 0.0264 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 1.1942 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 5.6600 | 5.0825 | 0.5775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5354 | 1.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 5.7600 | 5.4970 | 0.2630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 5.0257 | 2.8643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 4.9200 | 22.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 54.1200 | 9.8400 | 44.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0815 | 0.1185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0815 | 0.1185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0815 | 0.1185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2709 | 0.1391 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6150 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7630 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34010130 | Tomografia Comp. do Tórax | 280.6900 | 0.0000 | 280.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34010130 | Tomografia Comp. do Tórax | 280.6900 | 0.0000 | 280.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 10952 | HALOPERIDOL 5 MG/ML 1 ML SI IM IV | 0.0000 | 5.5458 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3100 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0210 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.3900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 63886 | DIFENIDRAMINA 50mg/ml 1ml SI IM IV | 14.2800 | 14.2752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 05274 | AMOXICILINA 500 MG + CLAVULANATO 12 | 3.1700 | 3.1660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 05274 | AMOXICILINA 500 MG + CLAVULANATO 12 | 3.1700 | 3.1660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3594 | 181.3606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 30961 | ENALAPRIL 10 MG CP VO UN | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51379 | SERINGA DESC 05 ML UN | 0.8600 | 0.8598 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 7.6500 | 7.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5376 | -0.0176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2130 | -0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.5600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6615 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1558 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.1100 | 1.9430 | 2.1670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 16225 | ATRACURIO 50 MG SI IV AP | 0.0000 | 34.5557 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54518 | MIDAZOLAM 5 MG/ML 10 ML SI IV AP | 130.4200 | 130.4196 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5376 | -0.0276 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 87.7500 | 87.7500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 91.0000 | 91.0000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22748 | LIDOCAINA 2% GE TP OU GR | 2.5900 | 2.4464 | 0.1436 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 9.7000 | 9.7000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 11.6800 | 11.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8310 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 1395.2328 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5460 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 15946 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.7300 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4076 | -0.0076 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 47813 | COLAGENASE PM TP GR | 20.1639 | 21.7182 | -6.2082 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 20.7000 | 21.3900 | -0.6900 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 40.5600 | 40.5568 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 111.9300 | 112.0600 | -2.8600 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.0000 | 143.1300 | -2.7300 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2112 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5436 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7659 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.2800 | 0.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.1900 | 1.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51241 | AGULHA 123X45 | 2.6713 | 1.5380 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5828 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5716 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9366 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 29.6900 | 29.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 85.0706 | 85.1440 | -11.7440 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5924 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0800 | 0.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 17.0400 | 17.0400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.9300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8607 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 2.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11940 | INSULINA NPH/REGULAR SI SC UI | 0.2000 | 0.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11940 | INSULINA NPH/REGULAR SI SC UI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1292 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9953 | 0.9260 | 0.4740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6800 | 1.1263 | 0.5537 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6800 | 1.1263 | 0.5537 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9349 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3156 | 0.3072 | -0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5590 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2788 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 1.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51241 | AGULHA 123X45 | 2.6188 | 1.7298 | 0.1202 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1220 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1848 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3973 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 4.3800 | 4.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00031 | AGULHA DESC 13 X 45 UN | 0.7700 | 0.5799 | 0.1901 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1363 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1363 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1363 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1120 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51584 | ESPARADRAPO MICROPORE | 0.3900 | 0.3880 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.3800 | 0.0000 | 1.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.6100 | 0.5813 | 0.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3712 | 0.3328 | -0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1224 | 0.1676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.3214 | 0.3686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2780 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 07978 | ELETRODO PARA MARCAPASSO TEMPORARIO | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5868 | 0.6144 | -0.1044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2816 | -0.0216 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 16961 | CLOPIDOGREL 75 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0360 | 0.0640 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.7000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 1.8935 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.9609 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 5.1750 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6700 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6700 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0520 | 0.3480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4720 | 0.5280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5130 | 0.2570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9256 | 0.0344 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1620 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 10057 | ALPRAZOLAM 0,5 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 80.2424 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 2.1356 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6695 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3057 | 2.3043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.5240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3706 | 0.5494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00125 | LUVA CIRURGICA UN | 1.4500 | 0.7238 | 0.7262 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8162 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0426 | 0.0074 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8554 | 0.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 0.7404 | 0.8796 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4488 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4488 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2340 | 0.0660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 36.4712 | 1.5188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 66.4700 | 63.8118 | 2.6582 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 151.9400 | 145.8639 | 6.0761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.4255 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 9.4080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3550 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3550 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2571 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.7609 | 0.0091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 27.0658 | 27.0642 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 1.6800 | 1.3000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 1.6800 | 1.3000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 1.4100 | 1.1600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00991 | ESPIRONOLACTONA 25 MG CP VO UN | 0.4800 | 0.3900 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 000501 | OXIGENIO | 62.4900 | 61.5860 | 0.9040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 9.4500 | 2.8300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2670 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2669 | 0.0531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5387874bebb5ff5602ac3e7a073ac463 | MATEUS | NULL | NULL | 12254856718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6700412ecea4f02c70fe8c98702a7e5c | NAYANE | NULL | NULL | 12321679012 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12311448719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 64bd3ec95addeb67afae125096388fc3 | SUELI | NULL | NULL | 12296844710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c9b67165dc17b29e0f8df2fdb75fd0a0 | TANIA | NULL | NULL | 12280060710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3209b0ec321834d5def6d4919da4ca08 | TANIA | NULL | NULL | 12296569212 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 12343171111 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 33d01c7e2f92735fe900083aae14c4b8 | YEDA | NULL | NULL | 12321394710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 3.0676 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 1.0889 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 0.6862 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1907 | 77.1893 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9500 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2076 | 0.2424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1178 | 0.4722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 6.3454 | 1.4146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9850 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5494 | 0.4106 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.1000 | 0.0000 | 2.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0000 | 2.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0000 | 2.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2451 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2199 | 0.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.9442 | 0.7858 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.1536 | 0.1564 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 0.3414 | 1.0286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2000 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2062 | 0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.2609 | 1.5091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0478 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6207 | 0.8293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1140 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0409 | 0.0091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0409 | 0.0091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3670 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5850 | 0.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7058 | 1.7042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 3.4086 | 3.4114 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 3.4086 | 3.4114 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 3.4600 | 2.9800 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3495 | 0.0505 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5652 | 0.2648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.9759 | 0.2141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 53858 | NISTATINA CV VG GR | 0.0900 | 0.0283 | 0.0617 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.9119 | 0.6381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2620 | 0.3380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6730 | 0.3270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3815 | 0.0185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51419 | FILTRO DE BARREIRA | 24.0000 | 16.0000 | 8.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0000 | 2.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9822 | 0.9378 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 3.8500 | 1.9695 | 1.8805 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.8000 | 0.2300 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1415 | 0.5885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.9600 | 0.2680 | 0.6920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 3e0e02debc0e7618b17615248d3c37d3 | ABADIA | NULL | NULL | 12321653025 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | ab1a041716bd33f40deac442fa25f48c | WILZE | NULL | NULL | 12336567522 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 4801bff91aa378d602e036921b93b70f | ANA | NULL | NULL | 12325530524 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 60.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 21822 | TRAMADOL 50 MG 1 ML SI IM IV AP | 8.3900 | 8.3892 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5912 | 0.5888 | -0.0488 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5756 | 0.5632 | -0.0132 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3280 | -0.0280 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.8315 | -0.1615 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.4220 | 1.1680 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51578 | Frasco p/ alimentacao enteral | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 201001 | TAXA DE SALA PORTE 0 | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22061 | DEXMEDETOMEDINA 100mcg/ml 2ml - Fr | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54172 | DIETA DIABETES 1.5 KCAL/ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 22.9200 | 0.0000 | 22.9200 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 000445 | TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51163 | AGUA BIDESTILADA 250 ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51163 | AGUA BIDESTILADA 250 ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51578 | Frasco p/ alimentacao enteral | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 000441 | TAXA DE DELEUCOTIZAÇÃO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 287.4400 | 234.0600 | 53.3800 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 28010337 | calcio ionico | 0.0000 | 0.2178 | NULL | EXAME SEM REGISTRO DE EXECUCAO | 2703 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 000441 | TAXA DE DELEUCOTIZAÇÃO | 0.0000 | 0.0000 | NULL | COBRANCA DE TAXA DE OBSERVACAO EM PRONTO SOCORRO SEM O REGISTRO DA PERMANENCIA | 2410 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2700 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.4000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 0.0000 | 19.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 22.9200 | 0.0000 | 22.9200 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 000445 | TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00204 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00204 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0390 | 0.0610 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.0000 | 16.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.7000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 0.6504 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 44.7100 | NULL | COBRANCA DE TAXA POR USO DE EQUIPAMENTO INCOMPATIVEL COM O PROCEDIMENTO REALIZADO/USO PREVISTO NO PROCEDIMENTO | 2402 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51163 | AGUA BIDESTILADA 250 ML | 0.0000 | 5.7860 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51163 | AGUA BIDESTILADA 250 ML | 0.0000 | 5.7900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 0.5100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8e33f9f53bac138de65049d2befe0f99 | DELIO | NULL | NULL | 12310009231 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 1.0889 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 13.1688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12265038634 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 2e2f03e046097465ccdb246bcd3e2aa7 | JUAREZ | NULL | NULL | 12317886530 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7250 | 0.2750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5610 | 0.8490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7380 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4100 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 3.4600 | 2.8300 | 0.6300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2770 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1090 | 0.0910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6300 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6710 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4807 | 0.4793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3299 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 1.6700 | 1.6677 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 2.5480 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 2.0180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4900 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00125 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7220 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.6005 | 0.0395 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.2011 | 0.0789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.1350 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2030 | 0.4670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1990 | 0.0610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4800 | 2.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 2.9700 | 2.1800 | 0.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.1163 | 0.8437 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 0.8500 | 0.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 1.9406 | 0.6494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.6406 | 0.6394 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.7200 | 0.0000 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.3300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309706511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319543910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281427918 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8e33f9f53bac138de65049d2befe0f99 | DELIO | NULL | NULL | 12309961514 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 286a6733c7d5f6aa744c15da8ad6c5ed | EDUARDO | NULL | NULL | 12335709614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325797810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 71a1bd6b05cc73c383c576a529acea44 | ENINA | NULL | NULL | 12268692116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cf77da12dda3393322bbe2da8307320f | EULA | NULL | NULL | 12285185010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | e634a6c5e65ebd4b6396d6f708c4944b | EUNICE | NULL | NULL | 12273804213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d0386b7fdef704aa152a8446b8ed9c0e | HELCIO | NULL | NULL | 12269198313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12257664418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 342fda5307471687efd49a3a3b449054 | IBANES | NULL | NULL | 12290216814 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2e8faeb7061823683b9b30ff242f8361 | ISENILDA | NULL | NULL | 12336867510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12291467013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0eb009eba92f602c6099864776da6c06 | JANE | NULL | NULL | 12269898311 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fd3c5d50f8fecb579a282a543009b136 | JOANA | NULL | NULL | 12261074418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 272ed3e1e14c329ebc2f30680a0ac1e6 | JOSEFINA | NULL | NULL | 12342468314 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 77e567fa7635e2789992b7d0a92337f6 | MARCELO | NULL | NULL | 12260625814 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fce29e32b885de9d6b8a1f61b330bdbf | MARCELO | NULL | NULL | 12321805216 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a43c6ce4cb2052c6703bac50f4c7a97d | MARIA | NULL | NULL | 12320803315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cef574f418a021f3c9d9e5b489982f34 | MARIA | NULL | NULL | 12259559117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 99e2a8ccec3ee1314e922f5bd9c2deff | MARIA | NULL | NULL | 12314601619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a344ba0419500b064b5ff8ceadafb0e6 | MARIA | NULL | NULL | 12266595310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 16225 | ATRACURIO 50 MG SI IV AP | 0.0000 | 34.5557 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 3.0676 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0798 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 208.3785 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1060 | 0.1540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2130 | 0.3270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0100 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 3.3000 | 0.6180 | 2.6820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9600 | 0.9470 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.0000 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3603 | 0.5597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2243 | 0.2557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8880 | 0.7820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4010 | 0.2690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9600 | 15.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5100 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2980 | 0.0220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.0926 | 1.4574 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.0925 | 1.4575 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.4580 | 0.3120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6476 | 0.0224 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1390 | 0.1210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.5000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4575 | 0.2325 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6016 | 0.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5354 | 1.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.0249 | 0.2551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.1392 | 10.1408 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7040 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5104 | 1.4296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 3.1500 | 3.0500 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6061 | 0.0839 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.1365 | 0.5335 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.1365 | 0.5335 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2494 | 0.0106 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 0.0000 | 3.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 0.0000 | 7.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4680 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7238 | 0.7262 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7713 | 0.0387 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3018 | 0.0082 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1400 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1730 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 31640 | SERTRALINA 50 MG CP VO UN | 0.0000 | 1.3760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.5300 | 0.5250 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.5300 | 0.5250 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 63886 | DIFENIDRAMINA 50mg/ml 1ml SI IM IV | 14.2800 | 14.2752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 63886 | DIFENIDRAMINA 50mg/ml 1ml SI IM IV | 14.2800 | 14.2752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 10820 | FILGRASTIM 300 MCG 1 ML SI IV SC | 0.0000 | 523.3778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.5225 | 0.1275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1b6900e392526e15c11b5aec3b16d592 | NATIVA | NULL | NULL | 12341283718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5468 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2550 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51379 | SERINGA DESC 05 ML UN | 0.8700 | 0.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5468 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.2944 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5050 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5973 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.5120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5020 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.4086 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3400 | 0.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 4.9700 | 4.9698 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 5.7600 | 5.7588 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.8000 | 1.7961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.8200 | 6.8085 | 0.0115 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 14.4900 | 15.1800 | -1.3800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 22.9264 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7149 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 5.7900 | 5.7880 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1779 | 0.0121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.1200 | 146.2500 | -5.8500 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7232 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 4.7900 | 4.7896 | 0.0004 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.1300 | 143.2600 | -2.8600 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 6.9000 | 6.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 20.7000 | 20.7000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2149 | -0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7613 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 51039 | CITALOPRAN 20 MG CP VO UN | 2.9000 | 4.3530 | -1.4530 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 5.2800 | 5.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.1700 | 0.2130 | 0.9570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5040 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51241 | AGULHA 123X45 | 1.0287 | 0.3147 | 0.6354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51241 | AGULHA 123X45 | 1.1500 | 0.3147 | 0.8354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 0.5500 | 0.5453 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1848 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 2.2000 | 1.3386 | 0.8614 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 85.0706 | 85.1440 | -11.7440 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 56391 | SUCRALFATO 200 MG/ML 10 ML SO VO F | 3.0200 | 3.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 20362 | SONDA URETRAL N 10 UN | 0.4300 | 0.4230 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8310 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.4909 | 0.0391 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.1490 | 1.7700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 2.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11940 | INSULINA NPH/REGULAR SI SC UI | 0.1000 | 0.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.2500 | 0.1408 | 0.1092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.8953 | 0.8599 | 0.4401 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.6504 | -0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.6504 | -0.0004 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.7800 | 0.7800 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.6400 | -0.3200 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.6400 | 0.6400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1845 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3522 | 0.1678 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.5376 | -0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.5376 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.7000 | 0.6994 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5974 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 75.9700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52391 | SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 3.7300 | 3.7300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 35.9700 | 35.9700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00031 | AGULHA DESC 13 X 45 UN | 4.4419 | 2.4984 | 0.0216 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00031 | AGULHA DESC 13 X 45 UN | 4.6319 | 2.6906 | 0.0194 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8764 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4028 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 160.3400 | 160.3330 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1363 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0300 | 0.0000 | 1.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.6100 | 0.5813 | 0.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.8000 | 0.7751 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.7000 | 0.5286 | 0.1714 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.3214 | 0.3686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 4.3400 | 4.3425 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 8.6900 | 8.6850 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 2.5600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 00272 | EPINEFRINA 1 MG/ML 1 ML SI IM IV S | 0.0000 | 0.9838 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 1.5376 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51419 | FILTRO DE BARREIRA | 0.0000 | 8.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6200 | 0.6328 | -0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 0.0000 | 2.4700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51419 | FILTRO DE BARREIRA | 0.0000 | 8.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00467 | CLORIDRATO DE LIDOCAINA GENERICO Restrito Hosp. | 0.0000 | 0.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.9609 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 840.7100 | NULL | COBRANCA DE TAXA POR USO DE EQUIPAMENTO INCOMPATIVEL COM O PROCEDIMENTO REALIZADO/USO PREVISTO NO PROCEDIMENTO | 2402 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.0000 | 38.4000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.0000 | 16.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 56804 | DIETA SEMI ELEMENTAR 1.0 KCAL/ML EM | 0.0000 | 78.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.9051 | 0.9194 | -0.1194 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2300 | 0.2056 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2300 | 0.3085 | -0.0785 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3907 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4238 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3070 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5935 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3612 | 0.3328 | -0.0228 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.8000 | 0.7751 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9313 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1363 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00031 | AGULHA DESC 13 X 45 UN | 0.7700 | 0.5808 | 0.1892 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3080 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 73.4000 | 73.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52391 | SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2357 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 3.7300 | 3.7300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 1.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00031 | AGULHA DESC 13 X 45 UN | 0.6400 | 0.5823 | 0.0577 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 19500 | METILPREDNISOLONA (SUCCINATO SODICO | 97.1500 | 97.1454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 19500 | METILPREDNISOLONA (SUCCINATO SODICO | 97.1500 | 97.1454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 19500 | METILPREDNISOLONA (SUCCINATO SODICO | 97.1500 | 97.1454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.7800 | 0.7800 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51241 | AGULHA 123X45 | 1.6259 | 1.0378 | 0.2422 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51241 | AGULHA 123X45 | 1.5989 | 1.0378 | 0.0422 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11940 | INSULINA NPH/REGULAR SI SC UI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.4300 | 0.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 52216 | GLICOSE 50% 20 ML SI IV AP | 5.3400 | 5.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3255 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 17.0400 | 17.0400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 0.5094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2560 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 20362 | SONDA URETRAL N 10 UN | 0.4300 | 0.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7100 | 0.7060 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 29762 | CISATRACURIO 20 MG 10 ML SI IV AP | 58.8400 | 58.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 20362 | SONDA URETRAL N 10 UN | 0.4300 | 0.4230 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51241 | AGULHA 123X45 | 3.0613 | 1.9225 | 0.1775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.8020 | -0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 463.1400 | 463.1421 | -0.0021 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 6.9000 | 6.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5320 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.6700 | 0.6662 | 0.0038 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 24.0000 | 24.0000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.0000 | 143.1300 | -2.7300 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.0000 | 143.1300 | -2.7300 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.1300 | 143.2600 | -2.8600 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.6489 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 7.5900 | 8.2800 | -1.3800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 47813 | COLAGENASE PM TP GR | 20.1639 | 21.7182 | -6.2082 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.2000 | 0.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.2500 | 146.3800 | -5.9800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.5000 | 1.5000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 5.7900 | 5.7880 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 40.5600 | 40.5568 | 0.0032 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 5.9400 | 5.9366 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5404 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00471 | LIDOCAINA 2% GE OU TP GR | 15.5600 | 7.3550 | 8.2050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6494 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3990 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5700 | 0.5640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9790 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 83.9500 | 83.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.2560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 4.3200 | 3.1300 | 1.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3591 | 181.3609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3591 | 181.3609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 05274 | AMOXICILINA 500 MG + CLAVULANATO 12 | 3.1700 | 3.1660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 60836 | KIT PARA ULTRASSONOGRAFIA INTRACORO | 0.0000 | 3597.8799 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 12408 | KANAKION (FITOMENADIONA) 10 MG/ML 1 | 0.0000 | 1.8658 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7960 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 31640 | SERTRALINA 50 MG CP VO UN | 0.0000 | 1.3760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 31640 | SERTRALINA 50 MG CP VO UN | 0.0000 | 1.3760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.0400 | 0.0000 | 2.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 60.8351 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.8958 | 0.0242 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3100 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 11.3400 | 10.2730 | 1.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.4080 | 0.2120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3670 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.0249 | 0.2551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 1.1942 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5930 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3884 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54653 | DERSANI LC TP ML | 19.4000 | 5.8200 | 13.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54653 | DERSANI LC TP ML | 19.4000 | 5.8200 | 13.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0131 | 0.1869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 1.1305 | 2.2695 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 7.6500 | 3.2775 | 4.3725 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 8.9074 | 8.9026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 1.2760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4030 | 0.2670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 54989 | LUFTAL (SIMETICONA) EM VO GT | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.5800 | 8.5700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8880 | 0.7820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0595 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5110 | 0.2590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5140 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.1680 | 0.7320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1323 | 0.0477 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1366 | 2.2734 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1229 | 0.0571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.4255 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276680110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265413619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 914bc9327f7a19dc5aca481124bd9efb | MARIA | NULL | NULL | 12255218817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12311545418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | e17d70debb66eda2dee1ee01861ce0fd | MARIA | NULL | NULL | 12309932218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 734612c551b837fa6a288126bac538d4 | MARIA | NULL | NULL | 12255394117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2a1cd46c269f0a9b01366f6ffa67b029 | MARIA | NULL | NULL | 12268369612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6e60d9eeebd8be5ff2fa133905314a32 | LUDMILLA | NULL | NULL | 12258540710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5e7307bb9c2cd212892dba6b41dc36d4 | LUCIANA | NULL | NULL | 12339665115 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276138119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255372316 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ae7d62f384cbc6dcac8b0608b6e410d3 | JONEVAL | NULL | NULL | 12250743215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254445712 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12277567313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12281474112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0e358649640a7e6d1acf9e55a6478c02 | IVONI | NULL | NULL | 12312469615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c654a159dbc0c14449a0d441c58c8102 | IRENE | NULL | NULL | 12342885110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cf422417037371070cc7d01612455542 | INES | NULL | NULL | 12336798913 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270744013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 67a46824f2cf0b91a183cec589917ec4 | ELIZETE | NULL | NULL | 12343512417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259226218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3b8a936ea94dad4fcc4c7d08f49543d7 | ARIOVALDO | NULL | NULL | 12315955610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4801bff91aa378d602e036921b93b70f | ANA | NULL | NULL | 12324514310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c0463a44d3716188b7b8b700026310e1 | ANA | NULL | NULL | 12277695618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ca2218441c8d199ca53f2688b67ab380 | ANA | NULL | NULL | 12276766519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3055 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3673 | 2.3627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.6600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0456 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.2227 | 4.0573 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1778 | 0.0122 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5341 | 0.7459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.7200 | 0.0000 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 28702 | VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP | 0.7200 | 0.0000 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0250 | 0.6450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6140 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 1.9406 | 0.6494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 1.9410 | 0.6490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2060 | 0.7940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.3200 | 0.0000 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2092 | 0.1908 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4700 | 2.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4800 | 2.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.2011 | 0.0789 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4091 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7220 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3000 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 0.9370 | 1.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.0800 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4900 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7230 | 0.2770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 1.6700 | 1.6677 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6710 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6750 | 0.0950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1080 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1090 | 0.0910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.1090 | 0.0910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4100 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0700 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6692 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7250 | 0.2750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7250 | 0.2750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 9.6200 | 6.8677 | 2.7523 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 19.2000 | 18.1300 | 1.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00126 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3673 | 2.3627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3905 | 0.0095 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 0.6862 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12281475030 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8e33f9f53bac138de65049d2befe0f99 | DELIO | NULL | NULL | 12310009231 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.0768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 19569 | SONDA DOBBHOFF (P/ ALIMENTAÇAO ENTE | 0.0000 | 77.6290 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2700 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 574.8800 | 468.1200 | 106.7600 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 164.2500 | 133.7500 | 30.5000 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010511 | Fratura do Cóccix - Tratamento Cruento | 106.7600 | 86.9400 | 19.8200 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010341 | Hérnia Discal - Tratamento Cirúrgico | 65.7000 | 53.5000 | 12.2000 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51584 | ESPARADRAPO MICROPORE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51241 | AGULHA 123X45 | 0.1900 | 0.1915 | -0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 36010049 | Rm da Coluna Lombo - Sacra | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52941 | Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51578 | Frasco p/ alimentacao enteral | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54687 | IODOPOVIDONA SD TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 38256 | COLAGENASE PM TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54172 | DIETA DIABETES 1.5 KCAL/ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 39040267 | Cateterismo da Artéria Radial - PA Contínua | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51620 | Modulo Em Pó De Fibras Solúveis | 2.4400 | 0.6480 | 1.7920 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 147.3840 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 0.3000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 000501 | OXIGENIO | 0.0000 | 827.5760 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 950.7064 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.3330 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 103.1688 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.3990 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 30376 | BROMETO DE IPRATROPIO 0,25MG/ML SL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7544 | 0.0056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00126 | LUVA CIRURGICA UN | 5.7900 | 1.9200 | 3.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 234.2100 | 234.2041 | 0.0059 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9256 | 0.0344 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0060 | 6.7440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1560 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01451 | ATROPION | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6640 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8658 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 4.7021 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.0816 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 0.0000 | 4.7300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 0.0000 | 18.9400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 2.2678 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.0000 | 0.4800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.7600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.4000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.4000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 0.0000 | 1.2308 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52772 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 10.1952 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54678 | HUMULIN | 0.0000 | 0.3000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54685 | POLVIDINE ALCOOLICA | 0.0000 | 0.1600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00857 | NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA | 0.0000 | 27.3393 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.6100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 0.0000 | 1.9119 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 0.0000 | 3.8238 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 28959 | DERSANI LC TP ML | 0.0000 | 19.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4256 | 0.5632 | -0.1632 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4512 | 0.5888 | -0.1888 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.5000 | 1.6400 | -0.1400 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 19151 | SERINGA DESC 10 ML UN | 0.6700 | 0.6662 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 43567 | IODOPOVIDONA TINTURA SL TP ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.6832 | 1.3804 | 0.4096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.4644 | 1.2180 | 0.2720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00627 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.0670 | 0.1530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2310 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3730 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3830 | 0.0970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1300 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1310 | 0.3190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1460 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3190 | 0.0810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8300 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 10.5600 | 10.5560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 5.2800 | 4.3680 | 0.9120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5850 | 0.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5850 | 0.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 1.6670 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.9190 | 0.5810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0412 | 0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1260 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.3477 | 0.4123 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.9048 | 0.2752 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00126 | LUVA CIRURGICA UN | 5.7900 | 2.4781 | 3.3119 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1920 | 0.0780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 40.5900 | 0.0000 | 40.5900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0530 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2062 | 0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3700 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1390 | 0.1210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.1538 | 0.1562 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2643 | 0.0657 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0856 | 0.3644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0856 | 0.3644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.5400 | 2.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.9440 | 0.7860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dbbe3b9eae9e97e5a06c73e513f4813c | ELUZIETE | NULL | NULL | 12290749311 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | AGENDAMENTO CANCELADO OU NAO CONFIR | 0621 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 54518 | MIDAZOLAM 5 MG/ML 10 ML SI IV AP | 0.0000 | 65.2098 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 22896 | CEFUROXIMA 750 MG + DIL. 6 ML PO I | 0.0000 | 26.1264 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3952 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 2e2f03e046097465ccdb246bcd3e2aa7 | JUAREZ | NULL | NULL | 12317886530 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5499 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.5760 | 0.3240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3980 | 0.6020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3755 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.5540 | 0.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3706 | 0.5494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 2.0560 | 0.8240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6920 | 0.3080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6920 | 0.3080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6920 | 0.3080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3690 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4420 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0426 | 0.0074 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3707 | 0.4393 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 3.7300 | 3.4417 | 0.2883 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3700 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5800 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4488 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 17.0400 | 17.0319 | 0.0081 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 151.9400 | 145.8639 | 6.0761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 51314 | ZOLPIDEM 10 MG CP VO UN | 0.0000 | 1.2796 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 9.4080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00031 | AGULHA DESC 13 X 45 UN | 0.5800 | 0.0324 | 0.5476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 0.8700 | 0.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.0700 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3850 | 0.6150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 27.0658 | 27.0642 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 27.0658 | 27.0642 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 000501 | OXIGENIO | 553.5300 | 545.5180 | 8.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7400 | 0.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2448 | 0.0852 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2669 | 0.0531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2669 | 0.0531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 0.0000 | 5.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b0cf39637fe986487f472bcb0d4cee6a | MARIA | NULL | NULL | 12296580819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 507aaed745d37ba6615ed20a0cc07949 | MAURINO | NULL | NULL | 12279813612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ca8956658662a3fbeae30b8cd5e2c8b7 | MICHELLE | NULL | NULL | 12259544910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a042172d572a2a88041bd5e6db0257d7 | MINERVINA | NULL | NULL | 12283522110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4704b64b8a9c485873497a67ae9816cf | NILVA | NULL | NULL | 12297393015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 95fe499e3f267de8bf496c76d4744ac5 | PAULO | NULL | NULL | 12277365819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fce3d54eb200b798b30ef40f4c53fcc1 | POLYANA | NULL | NULL | 12276745018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12308995017 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9588a1f8bb0e8e2a22c79e9adb9bf841 | THEREZINHA | NULL | NULL | 12254791112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252597312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9c0dd9de80ed2199aae12c9cfd765e76 | VITORIA | NULL | NULL | 12255065315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297387519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.6489 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00922 | AMINOFILINA 24 MG/ML 10 ML SI IM I | 0.0000 | 0.6685 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 0.7100 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0180 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01296 | MORFINA 0,2 MG 1 ML SI IT IV PE AP | 4.1400 | 3.3150 | 0.8250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0848 | 1.7452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00031 | AGULHA DESC 13 X 45 UN | 0.7700 | 0.3187 | 0.4513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2480 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0016 | 0.2584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 37025 | PROPOFOL 1% SI IV ML | 40.0000 | 30.0000 | 10.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.8200 | 0.6300 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 1.0900 | 0.8400 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4587 | 1.1513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9797 | 0.3003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2208 | 0.1792 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.6300 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3990 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.5294 | 1.0606 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2541 | 0.0759 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 240.5100 | 240.5057 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 2.2578 | 4.5322 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 2.2678 | 4.5522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2670 | 0.1830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5027 | 0.0873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0132 | 0.7568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.0129 | 0.7571 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 10.5600 | 8.7360 | 1.8240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5000 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 1.8069 | 0.2531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.2379 | 0.2021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 53858 | NISTATINA CV VG GR | 0.0900 | 0.0285 | 0.0615 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.9119 | 0.6381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1340 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1110 | 0.5590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8300 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3790 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.1090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.8000 | 0.0000 | 2.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1547 | 0.0353 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0000 | 2.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2482 | 0.2318 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.7366 | 0.7034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9822 | 0.9378 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2500 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.8000 | 0.2300 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.8000 | 0.2300 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2170 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.6400 | 0.5200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 7e6117ac94f603a115a3c16972503f7a | ABADIA | NULL | NULL | 12309768120 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680720 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 4.3000 | 4.2990 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7149 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.6550 | 0.9225 | 0.1175 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.4644 | 1.2180 | 0.2720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3612 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.1350 | 0.3750 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.1350 | 0.3750 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51620 | Modulo Em Pó De Fibras Solúveis | 2.4400 | 0.6480 | 1.7920 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 0.6560 | 1.8140 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51419 | FILTRO DE BARREIRA | 24.0000 | 6.3760 | 17.6240 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52941 | Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 0.0000 | 7.6476 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00020010 | Visita Hospitalar (Paciente Internado) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 30376 | BROMETO DE IPRATROPIO 0,25MG/ML SL | 2.4000 | 0.0000 | 2.4000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 38256 | COLAGENASE PM TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52976 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 27041158 | Medula Ossea - Aspiração para mielograma ou microbiologia | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010511 | Fratura do Cóccix - Tratamento Cruento | 71.1700 | 57.9600 | 13.2100 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 82.1200 | 66.8700 | 15.2500 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010341 | Hérnia Discal - Tratamento Cirúrgico | 229.9500 | 187.2400 | 42.7100 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00020010 | Visita Hospitalar (Paciente Internado) | 0.0000 | 0.0000 | NULL | COBRANCA DE HONORARIOS EM DUPLICIDADE | 2607 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 36010197 | HIDRO-RM ( COLANGIO-RM OU URO-RM OU MIELO-RM OU SIALO-RM OU ISTOG ) | 0.0000 | 0.0000 | NULL | EXAME SEM REGISTRO DE EXECUCAO | 2703 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 02203 | OLEO MINERAL 100% SO VO ML | 3.7600 | 3.5280 | 0.2320 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 33010358 | Doppler Colorido de Três ou mais Vasos | 0.0000 | 0.0000 | NULL | COBRANCA DE HONORARIOS EM DUPLICIDADE | 2607 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 10.7600 | 3.1190 | 7.6410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3200 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5496 | 0.4104 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9816 | 0.4284 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0300 | 0.0003 | 0.0297 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4340 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9850 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.7669 | 1.8431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.7669 | 1.8431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9310 | 0.7390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5570 | 0.4430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5570 | 0.4430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1178 | 0.4722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1178 | 0.4722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 4.3400 | 3.6145 | 0.7255 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01296 | MORFINA 0,2 MG 1 ML SI IT IV PE AP | 4.1400 | 3.3150 | 0.8250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2624 | 0.0676 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 19771 | SONDA FOLEY 2 VIAS Nş 18 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 1.0889 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 2.3480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277376616 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12269374911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 831ce19f675263fdd5ea867e52bddd1e | PAULO | NULL | NULL | 12254428014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dce2f74ba3898df1ccb50bffc099b2de | MOACYR | NULL | NULL | 12309523610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 66b99083c847543e2dafeba810842100 | MARIA | NULL | NULL | 12321552710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3180 | 1.2720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.4720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00991 | ESPIRONOLACTONA 25 MG CP VO UN | 0.4800 | 0.3800 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.3900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.6600 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.5000 | 1.3490 | 2.1510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3850 | 0.6150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.0600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 9.4080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.6489 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.0000 | 0.1560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 14.4800 | 14.4683 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 3.7300 | 3.4417 | 0.2883 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4420 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 9.6535 | 0.6965 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.8314 | 0.3486 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1880 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.2451 | 0.3649 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.1246 | 0.1854 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 234.2100 | 234.2039 | 0.0061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 0.6600 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 0.6700 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8320 | 0.8380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8330 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.6400 | 1.6397 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3298 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f6bc13441c49831fea25c1cb8e8ac9bc | MARIA | NULL | NULL | 12222623233 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f30234755d3a5cb6bb790e35e1dee0b0 | MARILENE | NULL | NULL | 12247587244 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52941 | Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico | 0.0000 | 0.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 0.0000 | 2.4900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 0.0000 | 2.4700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 1.4508 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00031 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.3800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.0000 | 0.4800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 4.7021 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 4.3800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6640 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00124 | LUVA CIRURGICA UN | 0.0000 | 1.4500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 0.0000 | 121.6700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01103 | SONDA FOLEY 2 VIAS N 18 UN | 0.0000 | 3.8174 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 000442 | TAXA DE IRRADIAÇÃO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7536 | 3.0164 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7538 | 3.0162 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3184 | 1.2716 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9563 | 1.5937 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5400 | 16.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00826 | TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I | 4.3800 | 3.2868 | 1.0932 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00124 | LUVA CIRURGICA UN | 5.7900 | 1.9200 | 3.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1763 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6700 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 64343 | PERFUSOR BOMBA INFUSAO 60CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 85.9740 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 64343 | PERFUSOR BOMBA INFUSAO 60CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 29874 | PROPOFOL 1% SI IV ML | 0.0000 | 10.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 20010052 | HOLTER DE 24 HORAS - 3 CANAIS - DIG | 0.0000 | 0.0000 | NULL | EXAME(S) NAO JUSTIFICADO(S) SOB INT | 0505 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 27162 | ROPIVACAINA 10 MG/ML 20 ML SI PE M | 0.0000 | 20.0520 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 992ce258cf73e450d019e370c7b0e144 | RENNE | NULL | NULL | 12255299913 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 137.5584 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00540 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c1f57a943a1055ad263b610d99977b67 | ANITA | NULL | NULL | 12248276839 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.0000 | 0.1593 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 33359 | TRAMADOL 100 MG 2 ML SI IM IV AP | 0.0000 | 17.9751 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255365939 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 07536 | MIDAZOLAM 15 MG CP VO UN | 0.0000 | 1.6170 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 10723 | GLICONATO DE CALCIO 100 MG/ML10ML S | 0.0000 | 5.8064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7899 | 0.0201 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 36.6942 | 3.8658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 55.0413 | 5.7987 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.8467 | 0.7433 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 4.8000 | 4.5400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 9.6200 | 6.8677 | 2.7523 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 0.3300 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5640 | 0.8460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7380 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7380 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7380 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4100 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2770 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6120 | 0.3880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2407 | 0.2393 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 1.5120 | 0.4880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.0800 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2630 | 0.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 1.5000 | 1.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 1.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.6007 | 0.0393 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4800 | 2.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4700 | 2.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 0.5275 | 0.7025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0597 | 0.4203 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.1745 | 1.2655 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 76.9300 | 9.3276 | 67.6024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.4300 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3058 | 2.3042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5250 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0310 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0263 | 0.1737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 1.4242 | 0.5958 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3672 | 2.3628 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0200 | 0.0000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 1.6156 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3e0e02debc0e7618b17615248d3c37d3 | ABADIA | NULL | NULL | 12321629119 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2296172f96b83376f7e395dfd0f8304d | ANTONIO | NULL | NULL | 12310005116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12259490819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321371519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 875db5c3747de8d9b7d31d9822258ba0 | CRISTIANO | NULL | NULL | 12267189511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1e542d1d64da4e61fe05fbb5db9e06b0 | DALVA | NULL | NULL | 12323993812 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3476f2e9ea965c3d6e10e4b3b814d450 | EDMILSON | NULL | NULL | 12283238517 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 160faa4740fe4679f6fbd15ce9d84e42 | GABRIELA | NULL | NULL | 12336867313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312501418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 76cda44fc4f696c69fc2698351fc0cae | IVONE | NULL | NULL | 12235250817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12319613612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12290889519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f4483e4f701e1727a8f20bb9f9250ee2 | JOAO | NULL | NULL | 12263447716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c1faaa4b4a03f9d2d976e0cf464be7c4 | JOSE | NULL | NULL | 12342943715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298123613 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c72cebd9d0b9e675b9c451a2b9dc0207 | LUZIA | NULL | NULL | 12269731513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9ffbbf7340bbd65e9e3baa9406d027f3 | MARCO | NULL | NULL | 12261689511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12278747218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 267c47fe19955bb4f620f53461023585 | MARIA | NULL | NULL | 12261745218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cf98c31c08ddc2665d7f922885af0f8b | MARIA | NULL | NULL | 12296737612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12326725412 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 3.6892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 15.2952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 60f97c801a1d271daafad302f72f1214 | MARCOS | NULL | NULL | 12329560737 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.1500 | 0.8455 | 0.3045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0560 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 0.0000 | 3.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5700 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.1040 | 0.8160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.1040 | 0.8160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5887 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5360 | 0.4640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5320 | 0.4680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51662 | Simeticona frasco c/15 ml | 2.4000 | 2.2800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7140 | 0.2860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.3800 | 0.3780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1728 | 0.5172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.1350 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.5800 | 0.0836 | 0.4964 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6810 | 0.9090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1540 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00093 | SERINGA DESC 60 ML UN | 7.6800 | 3.8400 | 3.8400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54653 | DERSANI LC TP ML | 19.4000 | 5.8200 | 13.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4576 | 0.2324 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.8979 | 0.1021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 1.1942 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5354 | 1.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.1392 | 10.1408 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7489 | 0.1311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 7.7002 | 0.7998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5930 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6920 | 0.0780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.6828 | 0.7572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0700 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6150 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6150 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 23.4000 | 17.5500 | 5.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 23.4000 | 17.5500 | 5.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 23.4000 | 17.5500 | 5.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 999999 | INSUMOS 40080200 | 1051.3800 | 525.6900 | 525.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 55223 | Pirimetamina 25mg - Cpr | 0.0700 | 0.0600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 55223 | Pirimetamina 25mg - Cpr | 0.0700 | 0.0600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 37.9856 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3100 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3025 | 0.0075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.5300 | 0.5250 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.0000 | 0.3900 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.3900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 63886 | DIFENIDRAMINA 50mg/ml 1ml SI IM IV | 14.2800 | 14.2752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 10820 | FILGRASTIM 300 MCG 1 ML SI IV SC | 0.0000 | 523.3778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3591 | 181.3609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7ca7367235c7b84ca7c24c8c993f8821 | FRANCISCA | NULL | NULL | 12341843617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2788 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0250 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51241 | AGULHA 123X45 | 1.0400 | 0.0000 | 1.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01101 | SONDA FOLEY 2 VIAS N 14 UN | 3.8200 | 3.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5120 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 54.3400 | 54.3400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2300 | 0.2248 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 52216 | GLICOSE 50% 20 ML SI IV AP | 1.0700 | 1.0700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 52216 | GLICOSE 50% 20 ML SI IV AP | 1.0700 | 1.0634 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20893 | SUFENTANILA 50 MCG/ML 5 ML SI IV P | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19674 | SONDA ENDOTRAQUEAL PVC C/B Nş 8,5 U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7670 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 19496 | METILPREDNISOLONA (SUCCINATO SODICO | 0.0000 | 15.2783 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 0.0000 | 13.3287 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54518 | MIDAZOLAM 5 MG/ML 10 ML SI IV AP | 130.4200 | 130.4196 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 14.4000 | 14.3970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 109.2000 | 109.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22748 | LIDOCAINA 2% GE TP OU GR | 2.5900 | 2.4464 | 0.1436 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 40.5600 | 40.5568 | 0.0032 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5360 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 11.7000 | 11.8300 | -5.9800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.2500 | 146.3800 | -5.9800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.1200 | 146.2500 | -5.8500 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 6.9000 | 7.5900 | -0.6900 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 143.0000 | 143.1300 | -2.7300 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5492 | 0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 0.0000 | 105.6772 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.1900 | 1.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5360 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 11.6800 | 11.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 1.9700 | 1.9700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 10.5600 | 10.5546 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 20362 | SONDA URETRAL N 10 UN | 0.4300 | 0.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2800 | 0.1533 | 0.1267 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5500 | 0.2787 | 0.2713 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4064 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 26.1600 | 26.1560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 56391 | SUCRALFATO 200 MG/ML 10 ML SO VO F | 3.0200 | 3.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 56391 | SUCRALFATO 200 MG/ML 10 ML SO VO F | 3.0200 | 3.0290 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5972 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.4909 | 0.0391 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.3060 | 1.9470 | -0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.3060 | 1.9470 | -0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.3060 | 1.9470 | -0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4034 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5468 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3022 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3963 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 31410 | NORFLOXACINO 400 MG CP VO UN | 1.3000 | 1.2960 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9953 | 0.9260 | 0.4740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.6504 | -0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.6504 | -0.0004 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.6400 | -0.3200 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.6400 | 0.6400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1845 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1845 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3354 | 0.1846 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.5376 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 19500 | METILPREDNISOLONA (SUCCINATO SODICO | 97.1500 | 97.1454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 19500 | METILPREDNISOLONA (SUCCINATO SODICO | 97.1500 | 97.1454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 36684 | FILTRO DE LEUCOCITOS UN | 0.0000 | 104.2400 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 75.9680 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2355 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2752 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51195 | Prednisolona 20mg Cp. | 0.7500 | 0.7500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.7800 | 0.7751 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.2560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.3214 | 0.3686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 02739 | BOLSA COLETORA (SISTEMA FECHADO) UN | 0.0000 | 5.9311 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 3.1800 | 3.1768 | 0.0032 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2816 | -0.0216 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2816 | -0.0216 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 0.0000 | 1.7037 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2816 | -0.0216 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 11193 | CLOREXIDINA 2 % ST TP ML | 1.7051 | 1.7074 | -0.1074 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 6.3500 | 6.3536 | -0.0036 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 09318 | FIO MARCA PASSO E.P15/MP.285 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 20044 | SONDA NASOGASTRICA CURTA Nş 16 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2300 | 0.2056 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.3214 | 0.3686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1284 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.6100 | 0.5813 | 0.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.0600 | 0.0000 | 2.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.3600 | 0.0000 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2413 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5828 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.5800 | 8.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1888 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2100 | 0.2816 | -0.0716 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 79.2700 | 79.2700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52391 | SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9313 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4046 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3354 | 0.1846 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.3200 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3600 | 2.2526 | 1.1074 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.6758 | 0.3342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.9800 | 0.9756 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.9800 | 0.9756 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51379 | SERINGA DESC 05 ML UN | 3.4191 | 1.3118 | 1.0982 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 31410 | NORFLOXACINO 400 MG CP VO UN | 1.3000 | 1.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2140 | -0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 52216 | GLICOSE 50% 20 ML SI IV AP | 10.6800 | 10.6770 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5340 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00563 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6492 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00563 | ATROPINA 0,50 MG SI IV AP | 1.3000 | 1.3000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 2.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7622 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.3060 | 1.9470 | -0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.0100 | 1.1275 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.2800 | 0.2700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 56650 | DIETA HIPERCALORICA HIPERPROTEICA S | 85.0706 | 85.1440 | -11.7440 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00186 | BICARBONATO DE SODIO 8,4% 10 ML SI IV AP | 3.9800 | 3.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2934 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1710 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 3.9025 | 2.1525 | 0.0075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6052 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 13.8000 | 13.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5320 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5320 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 1.4400 | 1.4424 | -0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 1.4500 | 1.4526 | -0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 201006 | TAXA DE SALA PORTE V | 299.9900 | 599.9967 | -300.0067 | PROCEDIMENTO NAO REALIZADO OU NAO I | 0403 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20370 | SONDA URETRAL Nş 12 UN | 0.7600 | 0.7558 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20370 | SONDA URETRAL Nş 12 UN | 0.7600 | 0.7558 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9ceb7aa1edd4c9013f25d82381a85fb1 | BENEDITA | NULL | NULL | 12229148433 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 20923 | SULFATO DE MAGNESIO 500 MG/ML 10 ML | 0.0000 | 1.3573 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 25.7358 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 11.5760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255365939 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255365939 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12274165832 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12274165832 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12265038634 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12265038634 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12265038634 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 33545 | PIPERACILINA 4 G + TAZOBACTAM 500 M | 0.0000 | 83.4493 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00540 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.7688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 2e2f03e046097465ccdb246bcd3e2aa7 | JUAREZ | NULL | NULL | 12317886530 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 71f935ca8fab6cccb6233fa8781155c0 | LARA | NULL | NULL | 12238580932 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5993 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.8468 | 0.7432 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 4.8000 | 4.5400 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5610 | 0.8490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6710 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6070 | 0.3930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0150 | 0.6550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 4.3300 | 4.3240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7230 | 0.2770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.4080 | 0.9220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6184 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00125 | LUVA CIRURGICA UN | 2.9000 | 0.9700 | 1.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1758 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2354 | 0.3546 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 2.4708 | 0.7092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7943 | 0.7957 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1880 | 0.2120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3000 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3569 | 0.0431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0540 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2030 | 0.4670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0373 | 0.0127 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 43.4000 | 31.8240 | 11.5760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 71.4200 | 52.3700 | 19.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4600 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4600 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0250 | 0.6450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.6406 | 0.6394 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.8250 | 0.2350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1130 | 0.1470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5300 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.2228 | 4.0572 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1620 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 0.9470 | 0.5930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0200 | 0.0000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 002e84540426cd384f5b22f477994999 | STEPHANIE | NULL | NULL | 12277394230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0e9c8e25b428b05373772ab51cd52476 | ANTONIA | NULL | NULL | 12316063716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 55a6b2dc18e2c1a0a4e76d098a08373b | CARLOS | NULL | NULL | 12255426417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 212127c045e14d61f215a552b6fb2d94 | CECILIA | NULL | NULL | 12277413415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6b5cb6e07a781a100d86ddb7d7a11dc7 | CORACY | NULL | NULL | 12309717014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255223512 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d77e4d5c69d21862f81f5c425060c9df | FELIPE | NULL | NULL | 12281509218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | e7eb3b11700700b49d69f0367419b775 | GABRIELA | NULL | NULL | 12311842717 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321278013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12334422419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255354013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 990acc594dd440599047bcb80adf959a | IVONE | NULL | NULL | 12259557711 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12269033117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12321568318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 054bc2146d6ff12540b070b039753cb5 | JOSE | NULL | NULL | 12329281810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4d0ca3091f23ed54d1f23144896c835f | JOSE | NULL | NULL | 12279836312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 49255fae824ddb906d0aa9766b035e94 | JURACINA | NULL | NULL | 12335110917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b808899cae67472bc23ae83cccee3caa | KESLEY | NULL | NULL | 12309020915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7d82518fd6d51c8f99e952aadd8ceb8c | LAFAIETE | NULL | NULL | 12282227715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12319988010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 043256a0a330ead08d75111c65662df0 | MARIA | NULL | NULL | 12309369313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f1ee09fac9ad5af1c92182510cf98571 | MARIA | NULL | NULL | 12285168215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 10944 | HALOPERIDOL 1 MG CP VO UN | 0.2200 | 0.2160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2463 | 0.0637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.5295 | 1.0205 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4034 | 0.0766 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5850 | 0.4150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6683 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 60f97c801a1d271daafad302f72f1214 | MARCOS | NULL | NULL | 12329560737 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1325 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1323 | 0.0477 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4160 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4160 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4160 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5520 | 0.4080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4825 | 0.9675 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7553 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5320 | 0.4680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5320 | 0.4680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 54989 | LUFTAL (SIMETICONA) EM VO GT | 1.2000 | 1.1400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 34010130 | Tomografia Comp. do Tórax | 280.6900 | 140.3438 | 140.3462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 34010130 | Tomografia Comp. do Tórax | 280.6900 | 140.3437 | 140.3463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6840 | 0.3160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.9020 | 3.3780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1540 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 1.1318 | 2.2682 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7041 | 1.7059 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4575 | 0.2325 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9540 | 0.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5930 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7040 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9104 | 1.0096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9104 | 1.0096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2040 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6150 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 000451 | TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO | 23.4000 | 17.5500 | 5.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 999999 | INSUMOS 40080200 | 1051.3800 | 525.6900 | 525.6900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 55223 | Pirimetamina 25mg - Cpr | 0.0700 | 0.0600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.6500 | 0.6456 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 31640 | SERTRALINA 50 MG CP VO UN | 0.0000 | 1.3760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.3900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12342209312 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51241 | AGULHA 123X45 | 1.2200 | 0.0000 | 1.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01101 | SONDA FOLEY 2 VIAS N 14 UN | 3.8200 | 3.8122 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3981 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5922 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0100 | 2.0100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0200 | 2.0156 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0292 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.5600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6650 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6693 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 52216 | GLICOSE 50% 20 ML SI IV AP | 1.0700 | 1.0700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51241 | AGULHA 123X45 | 1.1500 | 0.0000 | 1.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 29700 | HENETIX (IOBITRIDOL) 300 MG/ML SI | 0.0000 | 269.6250 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 8.1275 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5836 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 14.4000 | 14.3970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 83.2000 | 83.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22748 | LIDOCAINA 2% GE TP OU GR | 2.3500 | 2.4464 | -0.0964 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0512 | -0.0012 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 59331 | DEXMEDETOMIDINA 100 MCG/ML 2 ML SI | 0.0000 | 200.3000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4076 | -0.0076 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 5.7900 | 5.7880 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 10.6700 | 10.6700 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 20.7000 | 21.3900 | -0.6900 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 41858 | CLOPIDOGREL 75 MG CP VO UN | 1.7900 | 1.7900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 30015 | ACIDO ACETILSALICILICO 100 MG CP V | 0.1400 | 0.1400 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 1.6200 | 1.6156 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 3.0700 | 3.0717 | -0.0017 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5320 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 6.9000 | 6.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 34487 | MEROPENEM 1G PO IV FA | 154.3800 | 154.3807 | -0.0007 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 28959 | DERSANI LC TP ML | 0.0000 | 87.3000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1842 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.2800 | 0.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.8900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.1700 | 0.2130 | 0.9570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.1700 | 0.2130 | 0.9570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.1700 | 0.2130 | 0.9570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 01313 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 6.4500 | 6.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9398 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 26.3900 | 26.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00186 | BICARBONATO DE SODIO 8,4% 10 ML SI IV AP | 0.8000 | 0.7912 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 29762 | CISATRACURIO 20 MG 10 ML SI IV AP | 60.2700 | 60.2640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2900 | 0.1533 | 0.1367 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2140 | -0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9855 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9940 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51616 | ANLODIPINO 10 MG CP VO UN | 0.7100 | 0.7100 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7620 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9364 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7640 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 27618 | ONDANSETRONA 2 MG/ML 2 ML SI IM IV | 0.0000 | 0.0000 | NULL | MAT/MED NAO AUTORIZADO PREVIAMENTE | 0305 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2704 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3048 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.2800 | 0.2700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.2800 | 0.2700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 3.1290 | 1.7700 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 23.8600 | 23.8600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 03280 | CLOREXIDINA 2 % ST TP ML | 5.3924 | 2.5075 | 2.8725 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2600 | 0.2550 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.1700 | 0.8470 | 0.3230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 11940 | INSULINA NPH/REGULAR SI SC UI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5961 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2200 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.4400 | 0.4350 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.4400 | 0.4350 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51379 | SERINGA DESC 05 ML UN | 3.4191 | 1.3118 | 1.0982 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.0953 | 0.9921 | 0.5079 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.7800 | 0.7800 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 14460 | DOMPERIDONA 10 MG CP VO UN | 1.1700 | 1.1700 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.7884 | 0.2216 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6800 | 1.1263 | 0.5537 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6800 | 1.1263 | 0.5537 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.3354 | 0.2246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9960 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3904 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00031 | AGULHA DESC 13 X 45 UN | 0.4500 | 0.3882 | 0.0618 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 57355 | ESCITALOPRAM 10 MG CP VO UN | 1.5900 | 1.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2752 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5972 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5320 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.0928 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 6.7900 | 6.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00031 | AGULHA DESC 13 X 45 UN | 4.4419 | 2.4984 | 0.0216 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1750 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.7092 | 0.9274 | 0.1326 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2477 | 0.2723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 0.9940 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51195 | Prednisolona 20mg Cp. | 0.7500 | 0.7460 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 4.9940 | 2.8320 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 34614 | ATORVASTATINA CALCICA 10 MG CP VO | 1.4900 | 1.4900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4052 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.4000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 14.3910 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6900 | 0.6607 | 0.0293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1992 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2300 | 0.2056 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 00540 | AGULHA DESC 13 X 45 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2816 | -0.0216 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.0000 | 2.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 0.0000 | 2.4723 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 24.5600 | 0.0000 | 24.5600 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 02734 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0360 | 0.0640 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0360 | 0.0640 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 2.5800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 39030156 | Cateterismo de Veia Central por Punção | 0.0000 | 0.0000 | NULL | COBRANCA DE HONORARIOS EM DUPLICIDADE | 2607 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.9609 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51419 | FILTRO DE BARREIRA | 0.0000 | 8.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51508 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP | 0.0000 | 40.2400 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 29.1000 | 29.1000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 5.7900 | 5.7880 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5360 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.2000 | 1.2000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 000501 | OXIGENIO | 0.0000 | 792.8064 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 52302 | CLOREXIDINA SL TP BU ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0512 | -0.0012 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0512 | -0.0012 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22748 | LIDOCAINA 2% GE TP OU GR | 2.3500 | 2.4464 | -0.0964 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 13.6714 | 0.9036 | 12.4064 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 140.4000 | 140.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 16.1800 | 16.1742 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.0000 | 3.3894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 15946 | PANTOPRAZOL 40 MG CP VO UN | 0.0000 | 1.7300 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6700 | 0.6686 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4425 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5856 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2816 | -0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6716 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 201002 | TAXA DE SALA PORTE 1 | 0.0000 | 0.0000 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2500 | 0.2400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5000 | 0.4962 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7624 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2560 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0100 | 2.0100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4034 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6826 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01101 | SONDA FOLEY 2 VIAS N 14 UN | 3.8200 | 3.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51241 | AGULHA 123X45 | 1.2400 | 0.0000 | 1.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0200 | 0.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 05274 | AMOXICILINA 500 MG + CLAVULANATO 12 | 3.1700 | 3.1660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 05274 | AMOXICILINA 500 MG + CLAVULANATO 12 | 0.0000 | 3.1660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 0.0000 | 8.6076 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.3900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 13706 | BUPIVACAINA 0,5% C / VASOCONSTRITOR | 0.0000 | 22.0160 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.5300 | 0.5250 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.3500 | 0.3480 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3400 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1770 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3860 | 0.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.3000 | 0.0500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.5940 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3100 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 2.1355 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0700 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0815 | 0.1185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.0815 | 0.1185 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5421 | 0.0579 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4580 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.7000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 2.0300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5354 | 1.0746 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.5359 | 1.0741 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6016 | 0.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6016 | 0.0684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5930 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5076 | 0.0924 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2760 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4630 | 1.1470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6476 | 0.0224 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5993 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1590 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.6807 | 0.9093 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2340 | 0.0960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9600 | 15.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8932 | 0.0368 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2707 | 0.3193 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7140 | 0.2860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8880 | 0.7820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5320 | 0.4680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.4825 | 0.9675 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4487 | 0.5113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.1040 | 0.8160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.8280 | 0.6120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 30.5600 | 30.5566 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4160 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8480 | 0.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1266 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5110 | 0.2590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 0.0000 | 3.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 60f97c801a1d271daafad302f72f1214 | MARCOS | NULL | NULL | 12329560737 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1886 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1360 | 2.2740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0100 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0100 | 0.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2170 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1020 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 10944 | HALOPERIDOL 1 MG CP VO UN | 0.2200 | 0.2160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 51314 | ZOLPIDEM 10 MG CP VO UN | 0.0000 | 1.2796 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 24457 | FIO MONONYLON 4-0 C/ AGULHA 2,0 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 165eb5b1752fe1041870e66d8f5d454d | MARIA | NULL | NULL | 12333042513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 60f97c801a1d271daafad302f72f1214 | MARCOS | NULL | NULL | 12329556117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ba6d8aa22f0ac6fa73fc97f10a280c17 | MANOEL | NULL | NULL | 12255397511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a2635090ebf8543f89dd8454888f39dc | LUZIA | NULL | NULL | 12309018514 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12311949811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325713014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2fb5ec47cedb46e5e8523ea81ea960fd | JURACY | NULL | NULL | 12343127418 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | deecb16e08970c5972d4b1e3731ebda2 | JOSE | NULL | NULL | 12296998510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12273778211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b726b0fdc5ba514aae734c8e0b2eb14c | IEDA | NULL | NULL | 12264890811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 6fe938dabee8ade9a1ecd7e293003666 | HUGMAR | NULL | NULL | 12279652413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8b02ac8869179ca9a8f1dc4b9a715e70 | GOIACI | NULL | NULL | 12332650219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 96aca2102ab122b1b57bb31e4e5bd131 | GERALDINA | NULL | NULL | 12341017014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d88bef26a13d2ded818a03f873db5fee | ELENISSE | NULL | NULL | 12324173712 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 81bb3dcdd80f7bf3d0032d7bdf26cfec | DANIELLE | NULL | NULL | 12336901611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330159414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 212127c045e14d61f215a552b6fb2d94 | CECILIA | NULL | NULL | 12255418219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267196614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255089916 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276781515 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cf9929898a391aac7e5c22060bfee23e | ADRIANA | NULL | NULL | 12253136113 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8945839593ea1e2b2001473532c73738 | KAYKY | NULL | NULL | 12264467437 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a1fdd21cd8fbd02e31350f0a5890f317 | MARIA | NULL | NULL | 12265559337 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2824 | 0.1176 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4796 | 0.9304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3130 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.2000 | 0.3900 | 0.8100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.5338 | 0.7462 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4120 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3057 | 2.3043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 1.9406 | 0.6494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 4.8000 | 0.0000 | 4.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.3491 | 2.5309 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 920.0000 | 690.0000 | 230.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 920.0000 | 690.0000 | 230.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 71.4200 | 52.3700 | 19.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 000501 | OXIGENIO | 43.8900 | 32.1830 | 11.7070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0373 | 0.0127 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0224 | 0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0225 | 0.0075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5410 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1870 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7240 | 0.7260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.0100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.0100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 40.5567 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 2.0180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9615 | 0.9585 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6070 | 0.3930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 0.0000 | 137.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7380 | 0.2620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 7.7970 | 2.5830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 19.2000 | 18.1300 | 1.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.8467 | 0.7433 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2820 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.0793 | 0.2407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2680 | 0.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.1000 | 1.3100 | 0.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12286876434 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 6.8164 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 12235405732 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332118930 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12265038634 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12274165832 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12281475030 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222531131 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255365939 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 69b2457f91b8c9cd6710f195975451b7 | IRANI | NULL | NULL | 12255365939 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 1.1868 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 792c9785a1e3905ad1f4f4ddb78a9694 | GERALDA | NULL | NULL | 12321408539 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 6.3773 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35190 | SALBUTAMOL 100 MCG SY VO DS | 0.0000 | 0.2490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.7612 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3048 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.6000 | 0.4676 | 0.1324 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.4644 | 1.2180 | 0.2720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 2b7fa68849020525c5658d9f96623f14 | VICTOR | NULL | NULL | 12323735120 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 7e6117ac94f603a115a3c16972503f7a | ABADIA | NULL | NULL | 12309758821 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3830 | 0.0970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2500 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7300 | 15.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 10.1392 | 10.1408 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2810 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2900 | 0.1530 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.3110 | 0.3090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51419 | FILTRO DE BARREIRA | 24.0000 | 16.0000 | 8.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6570 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.1090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9389 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1110 | 0.5590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6650 | 0.3350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2620 | 0.3380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 53858 | NISTATINA CV VG GR | 0.0900 | 0.0283 | 0.0617 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.6000 | 0.0400 | 1.5600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 4.9759 | 0.2141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 15.5700 | 15.5666 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8185 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 5.3200 | 2.1640 | 3.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 6.8123 | 6.8177 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 1.9450 | 0.6150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5850 | 0.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2090 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6662 | 0.3338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1877 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.2609 | 1.5091 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 0.0000 | 27.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291130231 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | a7bb548f3353cba5fac1c27ef7fcd943 | JACKSON | NULL | NULL | 12281475030 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.0768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0921fd1fdec226a623f2a3e272f6d27c | GRASSIELA | NULL | NULL | 12248207537 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 19666 | SONDA ENDOTRAQUEAL PVC C/B Nş 8,0 U | 0.0000 | 22.1870 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12330307230 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321409939 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 635cd71723457924a301ac7a159d9b2b | BATISTINA | NULL | NULL | 12319870235 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c1f57a943a1055ad263b610d99977b67 | ANITA | NULL | NULL | 12248276839 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 3.3984 | 6.8216 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2600 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.2700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00881 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.2652 | 0.0648 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3591 | 181.3609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02735 | TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA | 362.7200 | 181.3591 | 181.3609 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 10820 | FILGRASTIM 300 MCG 1 ML SI IV SC | 0.0000 | 523.3778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 12408 | KANAKION (FITOMENADIONA) 10 MG/ML 1 | 0.0000 | 1.8658 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.3900 | 0.3900 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7166 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 31640 | SERTRALINA 50 MG CP VO UN | 0.0000 | 1.3760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.0400 | 0.0000 | 2.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1930 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3800 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 2.6810 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.7677 | 0.2323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5800 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7943 | 0.7957 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.9440 | 0.7860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00555 | LAMINA BISTURI N 10, 11,12 E 15 UN | 0.5500 | 0.2753 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3930 | 0.2070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9797 | 0.3003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3200 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 1.0900 | 0.8400 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0016 | 0.2584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4340 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.2400 | 0.1730 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9310 | 0.7390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1178 | 0.4722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1183 | 0.4717 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2076 | 0.2424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00557 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6675 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9500 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01296 | MORFINA 0,2 MG 1 ML SI IT IV PE AP | 4.1400 | 3.3150 | 0.8250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2280 | 1.6020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 308.7600 | 154.3806 | 154.3794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4400 | 1.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0864 | 0.0136 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3660 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 14664 | NALOXONA 0,4 MG/ML 1 ML SI IM IV S | 0.0000 | 7.4179 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 17906 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 0.0000 | 16.3392 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 35e8532c73d2bb2090e8bfa17e921f15 | ZELIA | NULL | NULL | 12277408513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 565a7631348e37fdb3729358cf21cec1 | VANIA | NULL | NULL | 12263447215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | ac29f36abbfa24004eb9efb42cdd45eb | VALERIA | NULL | NULL | 12309525614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297971511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | e3e6c06b12de2f8beedcf029ac1083bc | ROSANGELA | NULL | NULL | 12343504219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 985f5fd48cc7028f8c508797b43eda83 | RAIMUNDA | NULL | NULL | 12254379116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9d0950f14d23ea1b4d26f66a38c64d77 | PAULA | NULL | NULL | 12332723315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 68e4fbc1f7689627e00a78630177dce9 | NOEMIA | NULL | NULL | 12325561315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 0.9550 | 0.5450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00126 | LUVA CIRURGICA UN | 5.7900 | 1.5783 | 4.2117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4440 | 0.5560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.8900 | 5.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.9000 | 5.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.9000 | 5.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.3900 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7112 | 0.0988 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3850 | 0.6150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3466 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 18110 | Levotiroxina 50mcg Cp. | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00031 | AGULHA DESC 13 X 45 UN | 0.7700 | 0.0430 | 0.7270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0108 | 0.1792 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.4255 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3666 | 0.0334 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 151.9400 | 145.8639 | 6.0761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 72.9319 | 3.0381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5800 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.3600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3700 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 6.2100 | 5.7301 | 0.4799 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0426 | 0.0074 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.8314 | 0.3486 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1880 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7540 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51584 | ESPARADRAPO MICROPORE | 2.0500 | 1.6400 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.6000 | 0.2040 | 1.3960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1920 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3058 | 2.3042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 2e2f03e046097465ccdb246bcd3e2aa7 | JUAREZ | NULL | NULL | 12317886530 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 14664 | NALOXONA 0,4 MG/ML 1 ML SI IM IV S | 0.0000 | 7.4179 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 17.0400 | 17.0348 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00938 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00122 | LUVA CIRURGICA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 999999 | INSUMOS 40080200 | 0.0000 | 175.2809 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 33010013 | U.S. Abdômen Superior | 0.0000 | 0.0000 | NULL | EXAME SEM REGISTRO DE EXECUCAO | 2703 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 20010230 | Ecodoppler Transoperatório Esofágico | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 123.1800 | 100.3100 | 22.8700 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00859 | ENALAPRIL 10 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 26030012 | Cariótipo de Sangue ou Medula (Técnicas com Bandas) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54157 | EQUIPO P/ DIETA ENTERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 38256 | COLAGENASE PM TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 36362 | PANTOPRAZOL GENERICO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 24.5600 | 0.0000 | 24.5600 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 22.9200 | 0.0000 | 22.9200 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 000445 | TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 6.6000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.1350 | 0.3750 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0300 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3300 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00540 | AGULHA DESC 13 X 45 UN | 1.9122 | 1.1532 | 0.5668 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 11193 | CLOREXIDINA 2 % ST TP ML | 2.8994 | 2.9260 | -0.2660 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1806 | 0.0094 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 201006 | TAXA DE SALA PORTE V | 299.9900 | 599.9967 | -300.0067 | PROCEDIMENTO NAO REALIZADO OU NAO I | 0403 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 8.1300 | 8.1275 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 2.4644 | 1.2180 | 0.2720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6400 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.1977 | 0.0323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059418 | 9c0dd9de80ed2199aae12c9cfd765e76 | VITORIA | NULL | NULL | 12255119120 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.6400 | 0.1780 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7000 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1415 | 0.5885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54653 | DERSANI LC TP ML | 19.4000 | 3.7400 | 15.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1470 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1472 | 0.0928 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.4240 | 0.3760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2810 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2810 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5654 | 0.0346 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 52216 | GLICOSE 50% 20 ML SI IV AP | 2.1400 | 2.1358 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 0.9104 | 1.0096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4552 | 0.5048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5407 | 0.0593 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1670 | 1.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51219 | ALENIA | 1.1700 | 0.1730 | 0.9970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9850 | 0.6850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6052 | 0.0848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54687 | IODOPOVIDONA SD TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03766 | DOMPERIDONA 10 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 0.0000 | 1.5856 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00123 | LUVA CIRURGICA UN | 0.0000 | 0.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6690 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6640 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 6.1517 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 0.0000 | 10.5512 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 0.0000 | 20.9875 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 2.2246 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 1.1400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.7600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 0.0000 | 2.4900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 0.0000 | 3.7300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54685 | POLVIDINE ALCOOLICA | 0.0000 | 0.2200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54685 | POLVIDINE ALCOOLICA | 0.0000 | 0.2200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3057 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 1.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 0.0000 | 5.7357 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 26fdc5b0214f7afea931a6d5462df9e0 | AMABILI | NULL | NULL | 12165715410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 18716 | RISPERIDONA 1 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 12882 | FLUMAZENIL 0,1 MG/ML 5 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 07587 | DRAMIN B6 DL (DIMENIDRINATO + PIRID | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 2.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 635.0098 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 184.2300 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 201002 | TAXA DE SALA PORTE 1 | 0.0000 | 0.0000 | NULL | PROCEDIMENTO REALIZADO DIFERENTE DO | 0404 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 18457 | REPARIL (ESCINA + DIETILAMONIO) GL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 135.1020 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 126.0952 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 21010021 | ANATOMO PATOLOGICO DE PECA RADICAL | 0.0000 | 0.0000 | NULL | EXAME(S) NAO JUSTIFICADO(S) SOB INT | 0505 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.3000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 24791 | CATETER BALAO P/ ANGIOPLASTIA CORON | 0.0000 | 460.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 00111 | ABOCATH N 14 A 22 UN | 18.8300 | 18.8252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3293 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6681 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7544 | 0.0056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0270 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0589 | 0.5311 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2860 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.0370 | 0.1530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4720 | 0.5280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2450 | 0.0550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00826 | TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I | 13.1500 | 9.8679 | 3.2821 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1830 | 0.1470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8970 | 0.7730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.9256 | 0.0344 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 2.7768 | 0.1032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 3.8500 | 3.7121 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3170 | 0.3530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00938 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03766 | DOMPERIDONA 10 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 0.0000 | 3.1800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 0.0000 | 6.3500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 6.1788 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 4.7021 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 0.0000 | 1.3573 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 2.2680 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00238 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.0000 | 0.4800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0000 | 0.6860 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.6860 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.5100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51710 | CLORETO DE POTASSIO 15% 10 ML SI IV AP | 0.0000 | 0.6862 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 0.0000 | 18.9900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 1.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 1.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c4ded5870d9f9e4fcca132088e427e19 | JOSE | NULL | NULL | 12255378848 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.5120 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 19216 | SEVOFLURANO 1 ML/ML (100%) SL IN M | 0.0000 | 352.1000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 110.5380 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 32050054 | TORAX PA LAT | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES SEM LAUDO E/O | 0504 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 30139 | AMIODARONA 200 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 85.9740 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 58750 | AGULHA P/ PUNÇAO PERCUTANEA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 000501 | OXIGENIO | 0.0000 | 45.6320 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 2.5940 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 3.4971 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 57.3160 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 45.8528 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7890 | 0.8810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.9820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5370 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8970 | 0.7730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 6.5500 | 16.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 32050038 | RX Tórax: P. A. | 15.7500 | 9.0010 | 6.7490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 0.7536 | 3.0164 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0000 | 2.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.3110 | 0.3090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.3800 | 0.3076 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00031 | AGULHA DESC 13 X 45 UN | 0.3800 | 0.3076 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4037 | 0.1863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6100 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.8000 | 0.0000 | 2.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3850 | 0.0950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.7140 | 0.9560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4300 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5500 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8200 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8300 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2060 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1110 | 0.5590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.0600 | 2.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0300 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2080 | 0.5220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 52386 | CLORETO DE SODIO 20% 10 ML SI IV AP | 1.1000 | 1.0958 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 13.2000 | 13.1950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2290 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.7500 | 2.4121 | 0.3379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.2016 | 0.1684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 20.4500 | 10.2209 | 10.2291 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 7.9200 | 6.5520 | 1.3680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.4392 | 0.2308 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5590 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2665 | 0.1835 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2062 | 0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2062 | 0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2062 | 0.2438 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3722 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8242 | 0.1358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8244 | 0.1356 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 2.6900 | 2.6810 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.2746 | 1.2754 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0856 | 0.3644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4800 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2199 | 0.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1530 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8340 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0440 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3200 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3200 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6940 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4700 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 000501 | OXIGENIO | 17.8500 | 14.2730 | 3.5770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6510 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9850 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.7669 | 1.8431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 8.6900 | 7.2374 | 1.4526 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6300 | 2.9000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.6400 | 2.8900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9500 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01296 | MORFINA 0,2 MG 1 ML SI IT IV PE AP | 4.1400 | 3.3150 | 0.8250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5730 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2153 | 0.2347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 55107 | MORFINA 0,2 MG 1 ML SI IV PE IT FR | 0.0000 | 8.2890 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8c6a67a46a9b7171eab5ccc5499b0d9d | ANELITA | NULL | NULL | 12255137334 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255214219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 53071de02068cd2c46a3a2b159420691 | SUELY | NULL | NULL | 12277690415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12255432719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 985f5fd48cc7028f8c508797b43eda83 | RAIMUNDA | NULL | NULL | 12270725715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | fe9114009dde775e89de4a93e295146e | PAULO | NULL | NULL | 12343592211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283007019 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b753673d69e9d35ee2701bc3a850fb18 | NORMA | NULL | NULL | 12322686915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8b86d72dcabea79cbdc34f6e5fadd044 | MICHELL | NULL | NULL | 12309727718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 484573cde1aef1fe37db3798ee4facc5 | MARIA | NULL | NULL | 12282568115 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 1.6600 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00124 | LUVA CIRURGICA UN | 4.3400 | 1.1830 | 3.1570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.8900 | 5.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.9000 | 5.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 8.8160 | 2.6440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00991 | ESPIRONOLACTONA 25 MG CP VO UN | 0.4800 | 0.3800 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 1.4100 | 1.1600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.9400 | 0.7700 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8093 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 27.0600 | 13.5304 | 13.5296 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 18110 | Levotiroxina 50mcg Cp. | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.0600 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 0.8600 | 0.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 0.8700 | 0.8600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1171 | 0.4729 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | eff08749d885c5abdbd269091d7c9873 | WILSON | NULL | NULL | 12297485331 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7412 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 85.4700 | 82.0520 | 3.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4488 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2790 | 0.4910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.6400 | 0.2330 | 0.4070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5246 | 0.0054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8551 | 0.0749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0258 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4190 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4190 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4420 | 0.1580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4900 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.1896 | 0.0904 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1880 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1880 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1890 | 0.0710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 1380.0000 | 985.7200 | 394.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3984 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2290 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3706 | 0.5494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 10.1968 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 58750 | AGULHA P/ PUNÇAO PERCUTANEA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 40.5900 | 7.3800 | 33.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51508 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP | 0.0000 | 40.2400 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51508 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP | 0.0000 | 40.2400 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 0.5100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 0.0000 | 11.8766 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3607 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 0.0000 | 3.2509 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51241 | AGULHA 123X45 | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0360 | 0.0640 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00204 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55968 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 24.5600 | 0.0000 | 24.5600 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 22.9200 | 0.0000 | 22.9200 | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 2.4600 | 11.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 1.0200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51662 | Simeticona frasco c/15 ml | 0.9000 | 0.8800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.5096 | 1.4304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.7485 | 0.1315 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3476 | 0.0524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3670 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3670 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.0249 | 0.2551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 1.0249 | 0.2551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.8979 | 0.1021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5930 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7836 | 0.0264 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3869 | 0.0131 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 54653 | DERSANI LC TP ML | 19.4000 | 5.8200 | 13.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7041 | 1.7059 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5065 | 0.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2540 | 0.2560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4580 | 1.1520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3030 | 0.2070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1540 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 2.1850 | 2.9150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.5948 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2974 | 0.0226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1430 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6840 | 0.3160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2250 | 0.1050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1540 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1610 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0274 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0276 | 0.1624 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5080 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.1719 | 0.5181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54653 | DERSANI LC TP ML | 19.4000 | 3.9700 | 15.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4083 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.8931 | 0.0369 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5990 | 0.4010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 7.5000 | 4.3600 | 3.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 3.7500 | 2.1800 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.1040 | 0.8160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2760 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2768 | 0.2032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 0.0000 | 1.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3400 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3420 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 02252 | METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL | 15.2800 | 15.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 32050054 | RX Tórax: P. A. - Lat | 20.2100 | 10.1052 | 10.1048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 5.9643 | 0.8557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.1680 | 0.7320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0580 | 0.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1323 | 0.0477 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.1400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3981 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2840 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.0200 | 0.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2840 | 0.7160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4800 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0107 | 0.5793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1175 | 0.0625 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.5295 | 1.0205 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1527 | 0.0373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1556 | 0.0344 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2090 | 0.3310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2459 | 0.0641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 21245 | TIAMAZOL 5 MG CP VO UN | 0.5000 | 0.4989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 10944 | HALOPERIDOL 1 MG CP VO UN | 0.2200 | 0.2160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222598130 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12298179619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | cf98c31c08ddc2665d7f922885af0f8b | MARIA | NULL | NULL | 12309535218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 4816a164435c6f4efe2227852446adc6 | MARIA | NULL | NULL | 12277760411 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b8c50bd9125f5fb28dc5ea343d7ad961 | LUIZ | NULL | NULL | 12311176412 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7026cd42df1f5ae38787406e28d6ef7b | LEONARDO | NULL | NULL | 12295522113 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 7d82518fd6d51c8f99e952aadd8ceb8c | LAFAIETE | NULL | NULL | 12287346915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12343541713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 679bafba1e46e48177b69c2d8cb34c73 | JOANA | NULL | NULL | 12332086513 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | afb55c8be5f6cc50fb22f7a5aa0cd72f | JACQUELINE | NULL | NULL | 12263340611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 05b1f0e1319ebc19385e39a443384241 | JACOB | NULL | NULL | 12266766613 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 10fb1e787af431a514f6b278f126fc49 | IRENE | NULL | NULL | 12279886412 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b25568ae828c50bb8bf82eef84d0a78d | ILMA | NULL | NULL | 12255411218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | d0386b7fdef704aa152a8446b8ed9c0e | HELCIO | NULL | NULL | 12277316215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | b4b31f4ee2bbd9ae7cefdbb58f72cc96 | ELDER | NULL | NULL | 12276740316 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f1952bb71b8a5b6cade392a99e5b5c81 | EDITH | NULL | NULL | 12262410112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dc8a3df38466a4c4af2bb3adada44855 | DIVINA | NULL | NULL | 12276746516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | df1d5782e34f65cd45876ed9c39091a6 | DAGUIMAR | NULL | NULL | 12329605516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 42ed8324eb1067bc545d53d7ff5594e4 | CINIRA | NULL | NULL | 12309921018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 8eb53d1ec209efc9e741f4d132fb1ed8 | CARLOS | NULL | NULL | 12254998016 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3808855fc999650889a90e79c5a27ac3 | ANNA | NULL | NULL | 12312523219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 2e9001565e968081eb6c492f437e27ee | ANA | NULL | NULL | 12308892815 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261773339 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 51c1cd7bf95e67c465e8eac45d6e828c | JAQUELLINY | NULL | NULL | 12254454032 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259333639 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 855b5eec2465ffe6bde8bad4f7ccdc93 | ANDREIA | NULL | NULL | 12321680935 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d71f6961e3a28cee1dfd231f9d4a6f96 | ISABELLA | NULL | NULL | 12312539934 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 678dc839842340e927568125f89b2f2a | HELIO | NULL | NULL | 12336444836 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283867638 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281439230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0400 | 0.0000 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2820 | 0.1180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.4786 | 0.9314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3130 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.3078 | 0.1022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5131 | 0.0869 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0455 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.2227 | 4.0573 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.2227 | 4.0573 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.2227 | 4.0573 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1774 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5150 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2150 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0945 | 0.0055 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12254155740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.8250 | 0.2350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6230 | 0.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6230 | 0.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 268049a93bd6b26b4f5b79b2e6ede297 | SALVINA | NULL | NULL | 12187025148 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 0.0000 | 4.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 6.6600 | 1.3770 | 5.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.2090 | 0.7910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7945 | 0.7955 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.0000 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 33585f5e15467c7bdd39860a4999d750 | URIAS | NULL | NULL | 12255247944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.0790 | 0.0910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0581 | 0.4219 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1174 | 0.4726 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4216 | 0.3884 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4700 | 2.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.4800 | 2.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0224 | 0.0076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1990 | 0.0610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f30234755d3a5cb6bb790e35e1dee0b0 | MARILENE | NULL | NULL | 12247587244 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 85.9740 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 29700 | HENETIX (IOBITRIDOL) 300 MG/ML SI | 0.0000 | 215.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254419131 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 32905 | EQUIPO POLIFIX 4ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d4dbfd05ca467c79165606fc7735e38f | MARIA | NULL | NULL | 12312451147 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 644149ebf2a2c69f938aa1ae22f5ef7f | MARIA | NULL | NULL | 12185221839 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 07463 | DOPAMINA 5 MG/ML 10 ML SI IV AP | 0.0000 | 2.4758 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12217705730 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12183280231 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 31550 | PREDNISONA 5 MG CP VO UN | 0.3600 | 0.3570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.4300 | 0.4232 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f75b8a3ca92d2c95e65d2fff98be2d29 | FRANCISCO | NULL | NULL | 12270769836 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12220882236 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 93ab10613d6a84b2e98ec68d66f5f061 | LEOVEGILDO | NULL | NULL | 12184124349 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4088 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 54d59bca98bdfc6e3183f3c58c8080a2 | ELIABY | NULL | NULL | 12325813637 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3426 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.6853 | 0.2747 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3706 | 0.5494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.3706 | 0.5494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3055 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0520 | 0.3480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0930 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4157 | 0.1743 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.7194 | 0.1506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3702 | 0.4398 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 000501 | OXIGENIO | 32.7300 | 26.5440 | 6.1860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.2977 | 0.1923 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3700 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4230 | 0.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6190 | 0.3810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1100 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7610 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 75.9700 | 72.9319 | 3.0381 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3660 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | be3a00aea8414caa2481fbd5acdbea6d | MARTA | NULL | NULL | 12223656239 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222597035 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 11290 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 5.6696 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234617838 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12219054932 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235281439 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | b85c60141d4de3f2910457b0ff9b4eb5 | SIMONE | NULL | NULL | 12238458533 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 753c84e1fe71f9a70b9b36d18828ba40 | SUZANE | NULL | NULL | 12297996332 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12184732933 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12269071038 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12289578033 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12252609736 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315497533 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0106 | 0.1794 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 0.8600 | 0.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 18110 | Levotiroxina 50mcg Cp. | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 18110 | Levotiroxina 50mcg Cp. | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3512 | 0.0488 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 1.4100 | 1.1600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 3.5502 | 0.3898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 17.6312 | 5.2888 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 18.8900 | 5.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3203 | 0.9597 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.3956 | 1.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.3952 | 1.0548 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00125 | LUVA CIRURGICA UN | 1.4500 | 0.3952 | 1.0548 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5020 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4930 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2437 | 0.0863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.4949 | 0.1751 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2669 | 0.0531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2669 | 0.0531 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1910 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | dd4d956dc601cd748697c192be78566a | MARIANA | NULL | NULL | 12336906618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | f64fa312b396cd9395d0ffdc5b0a7a6d | MARTHA | NULL | NULL | 12328161611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12297451816 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 08654a43ccd9ba0c9a67f92a31667e9a | NEUSA | NULL | NULL | 12261874618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12261623313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 0fe232e46db54ff8277fc642f98b2041 | VILMA | NULL | NULL | 12315104019 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 877d203495b961dbe628d0b7639b2706 | WELLESLEY | NULL | NULL | 12309643814 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12297998810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 22128 | PARACETAMOL 500 MG + CODEINA 30 MG | 0.0000 | 2.9490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.7961 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 28.4892 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 09091 | PROMETAZINA 25 MG/ML 2 ML SI IM IV | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51977 | ERITROPOIETINA 4.000 UI PO IV SC | 0.0000 | 133.8855 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | f685e09d052377a3e37cdc0156d85f6f | LIA | NULL | NULL | 12325737230 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2127 | 0.2373 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2577 | 0.0723 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0817 | 0.0183 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01491 | FENITOINA 100 MG CP VO UN | 0.3700 | 0.2880 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.4378 | 1.9722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.5560 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7963 | 0.1637 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0130 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1583 | 0.2417 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1570 | 0.2430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.3035 | 0.5765 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7612 | 1.1788 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00704 | MEROPENEM 1G PO IV FA | 154.3800 | 77.1903 | 77.1897 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.2258 | 1.6042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 01296 | MORFINA 0,2 MG 1 ML SI IT IV PE AP | 4.1400 | 3.3180 | 0.8220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 1.0500 | 0.9600 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 51662 | Simeticona frasco c/15 ml | 2.1000 | 1.9000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.5290 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5416adc7c59c764b1cc03399edf59a83 | ORIVALDA | NULL | NULL | 12241456540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 1.0826 | 1.7474 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 2.1691 | 3.5009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 8.5000 | 3.2517 | 5.2483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.2076 | 0.2424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.1178 | 0.4722 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51241 | AGULHA 123X45 | 0.5800 | 0.2401 | 0.3399 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5630 | 0.4370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9310 | 0.7390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 1.8570 | 1.4730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0170 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.7669 | 1.8431 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0210 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0016 | 0.2584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 0.0158 | 2.5442 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.8242 | 0.6158 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00348 | DIPIRONA 500 MG CP VO UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.8000 | 0.0000 | 2.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3560 | 0.2340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3520 | 0.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1560 | 0.3840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3930 | 0.2070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.5900 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4453 | 0.3647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 7.8963 | 1.5737 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.6300 | 1.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2629 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2300 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4000 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5800 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5800 | 0.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2533 | 0.0767 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.7677 | 0.2323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3702 | 0.0298 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0530 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.1339 | 2.2761 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9855 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 0.0000 | 13.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.3670 | 0.1630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5013 | 0.0887 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.2610 | 1.5090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00111 | ABOCATH N 14 A 22 UN | 7.5300 | 4.5158 | 3.0142 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.3719 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6206 | 0.8294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2916 | 0.0184 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.2912 | 0.0188 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4524 | 0.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1731 | 0.0169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2963 | 0.0337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1970 | 0.0630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5850 | 0.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.1840 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 1.7043 | 1.7057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.4900 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 3.4600 | 2.9800 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2150 | 0.3150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4126 | 0.0674 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.6506 | 0.2694 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 2.8300 | 2.5637 | 0.2663 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.2693 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2160 | 0.5140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0200 | 0.7800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 51671 | REPARIL (ESCINA + DIETILAMONIO) GL TP GR | 0.3800 | 0.3216 | 0.0584 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2276 | 0.2524 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.9737 | 0.3063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2620 | 0.3380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3070 | 0.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 4.8300 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 04963 | PANTOPRAZOL 40 MG CP VO UN | 1.7300 | 1.5600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3690 | 0.1110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.4790 | 0.4410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.1000 | 0.0000 | 2.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51241 | AGULHA 123X45 | 0.1900 | 0.1808 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4027 | 0.1873 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3809 | 0.0191 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1400 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.1900 | 0.1538 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1732 | 0.1568 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3230 | 0.0770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6550 | 0.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 54555 | AEROLIN | 0.5000 | 0.4980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51163 | AGUA BIDESTILADA 250 ML | 11.5800 | 11.5760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2810 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2455 | 0.2345 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.4911 | 0.4689 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1130 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6996 | 0.8504 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8400 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0700 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3600 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3870 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3830 | 0.0970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3730 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7470 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1421 | 0.5879 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1415 | 0.5885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 31291 | METRONIZADOL 250 MG CP VO UN | 0.2200 | 0.2170 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00838 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.0890 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e50b4ec606f1a798ea42317b7bd1fe10 | JACY | NULL | NULL | 11932336748 | 51241 | AGULHA 123X45 | 0.7900 | 0.6235 | 0.1665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.6600 | 0.0000 | 0.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2030 | 0.4670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7541 | 0.0059 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 2.1000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6478 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 9.4700 | 9.4690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.3000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.8315 | -0.1615 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.4512 | 0.5888 | -0.1888 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2158 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 8.6900 | 8.6850 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b8a475da88bed12e95a37fea37acbf1 | MARIA | NULL | NULL | 12246405641 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2300 | 0.2056 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 2.3900 | 2.3900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.3214 | 0.3686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.4700 | 0.4700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8024 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1224 | 0.1476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1346 | 0.1354 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.5120 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 01c86ea9e8701666ebfce68f2b0f03a6 | ZELIA | NULL | NULL | 12298014038 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | bcaf52a172d225b74745a133f1a88ade | MARIANA | NULL | NULL | 12267218032 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 9b5312a9b62e67e053cee9fae99cb3ca | MARIANA | NULL | NULL | 12327329933 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3970 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7220 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9976 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.0870 | 0.2430 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.1430 | 0.3970 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6600 | 0.1750 | 0.4850 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 0.4510 | 1.2490 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 0.4510 | 1.2490 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 55030165 | Desobstrução Traqueal a Laser | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51578 | Frasco p/ alimentacao enteral | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54157 | EQUIPO P/ DIETA ENTERAL UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52941 | Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 36362 | PANTOPRAZOL GENERICO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 38256 | COLAGENASE PM TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 52963 | FILTRO DE LEUCOCITOS | 0.6400 | 0.5823 | 0.0577 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 54687 | IODOPOVIDONA SD TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010341 | Hérnia Discal - Tratamento Cirúrgico | 98.5500 | 80.2500 | 18.3000 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010023 | Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral | 246.3700 | 200.6100 | 45.7600 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 52010511 | Fratura do Cóccix - Tratamento Cruento | 249.1100 | 202.8400 | 46.2700 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2700 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2700 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00094 | ABOCATH N 14 A 22 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 02203 | OLEO MINERAL 100% SO VO ML | 3.7600 | 3.5280 | 0.2320 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 62c67907cb5c62b293197216037d25ff | VALDECI | NULL | NULL | 12263446844 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 4.9940 | 2.8320 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 4.8140 | 2.6550 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3456 | 0.3072 | 0.0128 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00031 | AGULHA DESC 13 X 45 UN | 0.8000 | 0.7751 | 0.0249 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 32f05a73880fc9c6bca09515ac22c30e | SEBASTIAO | NULL | NULL | 12310899644 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2420 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 09b825abc9ef518ba223f29f2bf7c07b | WALDEMAR | NULL | NULL | 12171249749 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3044 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 57266 | FUMARATO DE QUETIAPINA 100 MG CP | 8.6100 | 8.6076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 318e80217df403f4d2c0010024c2e1ae | NILO | NULL | NULL | 12222455942 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f46c55d85311b267c39a3c36a11c1704 | WILSON | NULL | NULL | 12288777248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1239 | 0.1461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 00404 | LACTULOSE 667 MG/ML XP VO ML | 8.5800 | 8.5720 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6cc91d0bae7ee80faf1515c3c1bc4604 | OLGA | NULL | NULL | 12241643640 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 240.5100 | 240.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.8019 | 1.0201 | 0.0399 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7860 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dc0262e6d5010acfe6a18c66d0d30ed3 | OSMIDA | NULL | NULL | 12264720947 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12309007940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 28959 | DERSANI LC TP ML | 0.0000 | 29.1000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9968 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.0200 | 1.0200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9960 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.5376 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3275821189c63c84b49d8f2bc474df14 | LEILA | NULL | NULL | 12298170140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3354 | 0.1846 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1845 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 01503 | HIDRALAZINA 50 MG DG VO UN | 0.3200 | 0.6400 | -0.3200 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 14460 | DOMPERIDONA 10 MG CP VO UN | 0.7800 | 0.7800 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 30813 | DEXCLORFENIRAMINA 2 MG CP VO UN | 0.3300 | 0.3252 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9953 | 0.9260 | 0.4740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.7953 | 0.7937 | 0.4063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.7953 | 0.7937 | 0.4063 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 9.2300 | 1.5930 | 7.6370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7820 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12261951145 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3400 | 0.0939 | 0.2461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0374 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 34860 | SULFAMETOXAZOL 400 MG + TRIMETOPRIM | 0.7000 | 0.7000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8b09750a6d2390cf2ffd5dd76799599a | IVON | NULL | NULL | 12292121344 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 12262 | ISOSSORBIDA 20 MG CP VO UN | 0.2200 | 0.2174 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2abb44c4a2ca59174467848d6678378d | JESUINA | NULL | NULL | 12266838249 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3675 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 3.4300 | 3.4300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 4.1200 | 4.1200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 4.1200 | 4.1200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 03766 | DOMPERIDONA 10 MG CP VO UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6640 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 6.1788 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 0.0000 | 1.9676 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 4.7021 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 4.7021 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 0.0000 | 18.9400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3444 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 0.0000 | 91.6800 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 1.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.2900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 1.1400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51584 | ESPARADRAPO MICROPORE | 0.0000 | 0.7700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.2300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 52730 | METARAMINOL 10 MG | 0.0000 | 4.5060 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54677 | FIO ACIFLEX 6 C/ AGULHA 4,80 1/2 - M654-G EV | 0.0000 | 150.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54687 | IODOPOVIDONA SD TP ML | 0.0000 | 1.6900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 2.1385 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 07836 | MONOCRYL Plastica | 0.0000 | 44.2600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2590 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2200 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.9600 | 1.1275 | 0.0125 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2560 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.4909 | 0.0391 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5154 | 0.0146 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5476 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12063577644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9984 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 1.5300 | 1.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12262000642 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 12222228640 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7840 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5468 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 21261 | TEICOPLANINA 400 MG + DIL. 3 ML PO | 362.7200 | 362.7183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4486 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2fd28f5aa76be7aa2072537d0ba85951 | ELAINE | NULL | NULL | 12255258142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7100 | 0.7100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 00090 | SERINGA DESC 20 ML UN | 6.4600 | 6.4520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 52956 | FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN | 7.4600 | 7.4510 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 1.1700 | 0.2130 | 0.9570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12234060246 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5804 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4b88d072d07db090ddd30d3cc28d4112 | CARLOS | NULL | NULL | 12281504740 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2540 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12267241344 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1740 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a2cb1d00214ab61900fac49444b1672c | CARMEM | NULL | NULL | 12297674446 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.8839 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51584 | ESPARADRAPO MICROPORE | 0.5300 | 0.5300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.1000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12148061449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 26999 | GANCICLOVIR 500 MG + DIL. PO IV F | 151.0400 | 151.0348 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.5320 | -0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 3.8500 | 3.8464 | 0.0036 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 2.8800 | 2.8848 | -0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.9600 | 0.9616 | -0.0016 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.4800 | 0.4808 | -0.0008 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19151 | SERINGA DESC 10 ML UN | 0.3300 | 0.3331 | -0.0031 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.9300 | 0.9337 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09636 | FLORATIL (SACCHAROMYCES BOULARDII) | 4.4400 | 4.4429 | -0.0029 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 14.1600 | 14.1618 | -0.0018 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 14087 | METRONIDAZOL 500 MG 100 ML SI IV B | 7.0800 | 7.0809 | -0.0009 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6650 | 0.0250 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 3.9400 | 3.9447 | -0.0047 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 1.0200 | 1.0239 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00540 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 1.6200 | 1.6156 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 1.2100 | 1.2117 | -0.0017 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3565 | 0.0435 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3000 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0000 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 83537f27220ad33437d817c3e6d9fd92 | JOAO | NULL | NULL | 12291888848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 2.4708 | 0.7092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.2356 | 0.3544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3447 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1758 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5891 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.4176 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 2.0180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 2.0180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3040 | 0.0960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 00069 | SERINGA DESC 10 ML UN | 2.3300 | 2.3268 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6070 | 0.3930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2761 | 0.0439 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c9fa63b3fdfd97f8d59fe9d09cd453d4 | MANOEL | NULL | NULL | 12254447341 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bfe0dce5ba78a927b1ddf0f5d8bcfddc | JOSE | NULL | NULL | 12263204342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6300 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2780 | 0.0220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12244734248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f5da0d586d7aa04e6cb8a0c4d990850 | CAIRO | NULL | NULL | 12321471846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12290648140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7390 | 0.2610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12091450745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 0.0000 | 16.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9c457292aaeaf9fb2625e0716629becd | ISABELLA | NULL | NULL | 12263855845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5610 | 0.8490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 1.7000 | 0.0000 | 1.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5350 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2670 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 60.8400 | 55.0413 | 5.7987 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 36.6942 | 3.8658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 18.3471 | 1.9329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.3142 | 0.9658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 28311 | TORNEIRINHA DE 3 VIAS DESCARTAVEL UN | 8.4000 | 1.6803 | 6.7197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3901 | 0.0099 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0250 | 0.0350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0120 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0000 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ecf2c9f8366a1034c9d41bcdb5e12c62 | LAZARO | NULL | NULL | 12287139141 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 013b155943183fa582252ca154e5569f | JUVELINA | NULL | NULL | 12165747648 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248305538 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1813 | 0.0087 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1813 | -0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9856 | 0.0044 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19143 | SERINGA DESC 05 ML UN | 0.1900 | 0.1922 | -0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19135 | SERINGA DESC 03 ML UN | 0.1500 | 0.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.1000 | 0.1025 | -0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 3.4100 | 3.4055 | 0.0045 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 50598 | ATROPINA 0,25 MG SI IV AP | 0.4800 | 0.4842 | -0.0042 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 43.8000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 55018 | ALGINATO DE CALCIO EM HIDROGEL GL | 20.7000 | 21.3900 | -0.6900 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 9.7000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 28959 | DERSANI LC TP ML | 9.7000 | 10.6700 | -0.9700 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.4000 | 0.4039 | -0.0039 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.2500 | 146.3800 | -5.9800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 146.2500 | 146.3800 | -5.9800 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5612 | 0.5888 | -0.0788 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4076 | 0.0024 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33693 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV | 105.6800 | 105.6772 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.6000 | 0.5987 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 3.7300 | 3.7278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 20.2800 | 20.2784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.5360 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 05975 | COMPRESSAS DE GAZES 7.5 X7,5 (11 FI | 1.8000 | 1.8000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 37.9900 | 37.9812 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 56928 | MODULO DE PROTEINAS DO SORO DO LEIT | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 55093 | POLIMIXINA B 500.000 UI PO IM IT I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a48e469abc716636c97d5b4032f77caa | APARECIDA | NULL | NULL | 12309719743 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 11.6800 | 11.6800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52353 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0512 | -0.0012 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 29580 | FRASCO P/NUTRIÇAO ENTERAL 300 LACRE | 2.4700 | 2.4723 | -0.0023 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 28959 | DERSANI LC TP ML | 19.4000 | 19.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 60.8400 | 60.8352 | 0.0048 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 13757 | IODOPOVIDONA SD TP ML | 0.4000 | 0.4000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22748 | LIDOCAINA 2% GE TP OU GR | 2.3500 | 2.4464 | -0.0964 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27316 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.7037 | -0.0037 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 111.1500 | 111.1500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 56723 | DIETA DIABETES (C/CARBOIDRATO DE AB | 17.5500 | 17.5500 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.9000 | 0.9000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.6000 | 0.6000 | 0.0000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5376 | -0.0276 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.5356 | 0.5632 | -0.0532 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4100 | 3.4043 | 0.0057 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.4043 | -0.0043 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.8100 | 0.8078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.8000 | 1.7961 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 1.2000 | 1.1974 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54518 | MIDAZOLAM 5 MG/ML 10 ML SI IV AP | 65.2100 | 65.2098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 27596 | TIRA TESTE PARA GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 3.1800 | 3.1768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 19160 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6478 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4214 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00125 | LUVA CIRURGICA UN | 4.3400 | 4.3325 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.8291 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.4500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cf662de8af4357c5b15b7cd2fc8a126d | MARIA | NULL | NULL | 12227614540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6500 | 0.6500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 73e4a44f4d56fac95aed807cb569d25b | MARIO | NULL | NULL | 12268522644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.1600 | 0.1600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c68df788d7fd8af617351d7f4bd59830 | NEY | NULL | NULL | 12262557947 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8bd2b350a250f21e8c8bf7c476b2c57 | ORESTE | NULL | NULL | 12283876047 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2520 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320508342 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.6000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12190385841 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5852 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2816 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0100 | 2.0100 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12236915848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5484 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4f62cc6608c9fa6578a4a4dec392e666 | DIONESIA | NULL | NULL | 12238011348 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.2000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2615c4403bdc7dbe194d87f78e190c71 | GERALDO | NULL | NULL | 12163722846 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2560 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2816 | -0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0300 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0600 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 4ff63bc8ce9dd2c37f3ba30fffcef5f5 | OSMAR | NULL | NULL | 12276171848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5500 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51241 | AGULHA 123X45 | 0.8200 | 0.0000 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 51241 | AGULHA 123X45 | 0.8200 | 0.0000 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2800 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2550 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 4.6900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.6149 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 2.5506 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00555 | LAMINA BISTURI N 10, 11,12 E 15 UN | 0.0000 | 0.5500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54994 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN | 0.0000 | 16.4000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 53052 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9556T EV | 0.0000 | 24.1854 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 1.1400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.5700 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 2.2820 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 0.0000 | 2.7300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02247 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3500 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 2.2678 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 0.0000 | 23.3560 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 0.0000 | 10.5600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 0.0000 | 3.9400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 6.1517 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 6.1517 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.0803 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 4.3780 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01115 | SONDA NASOGASTRICA LONGA N 14 UN | 0.0000 | 0.7400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 000441 | TAXA DE DELEUCOTIZAÇÃO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00094 | ABOCATH N 14 A 22 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c33a6d3d9bb68b217ac8565c5ecb2ac5 | JOVANCA | NULL | NULL | 12233941245 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.9559 | 1.5941 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 18.1600 | 18.1591 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 03018ce2c0d79ac0ef5bd1cbcf92b7c8 | MARIA | NULL | NULL | 12298185545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8959 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0384 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2724 | 1.1376 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0370 | 0.1430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3620 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.0590 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5130 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5240 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1763 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1763 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5894 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d2a64df14d76528bbd25fc52fbc92cae | JOSE | NULL | NULL | 12241648736 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 12320058937 | 00098 | ABOCATH N 14 A 22 UN | 18.8300 | 18.8276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 06da7e6171666c282a23b6bfaea34946 | ANA | NULL | NULL | 12311962340 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 29874 | PROPOFOL 1% SI IV ML | 0.0000 | 10.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 80b48beb268563c3e97e343f59e1bb64 | JOAO | NULL | NULL | 12243320148 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11954333241 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9dbb8f82efe7a16aa84c856804bd479e | SEBASTIAO | NULL | NULL | 12228729249 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 33227 | LUVA CIRURGICA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8f8cfdbc0c571b2d7d65fb2cb07ae246 | JOSE | NULL | NULL | 12248313941 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 28959 | DERSANI LC TP ML | 0.0000 | 4.8500 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 73.6920 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 25208 | CORDA GUIA 0,35 (CONVENCIONAL OU HI | 0.0000 | 112.5000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8bd870ab3cb7c0bb06a668e314067a20 | MANOEL | NULL | NULL | 12298131240 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 64343 | PERFUSOR BOMBA INFUSAO 60CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 20389 | SONDA URETRAL N 14 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | bb843fafad124b120218178bf6b20ecd | DILSON | NULL | NULL | 12267056041 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 34.5528 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 000501 | OXIGENIO | 0.0000 | 112.0960 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 28959 | DERSANI LC TP ML | 0.0000 | 4.8500 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1f3277cc39463ccd4731052218a3d88e | HERMERICO | NULL | NULL | 12259401040 | 00020010 | Visita Hospitalar (Paciente Internado) | 0.0000 | 63.2558 | NULL | COBRANCA DE HONORARIOS EM DUPLICIDADE | 2607 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 02203 | OLEO MINERAL 100% SO VO ML | 3.7600 | 3.5280 | 0.2320 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 1.5886 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9e1042924e77ec2202457311e32fc8c7 | VERA | NULL | NULL | 12171707441 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 3e40e618cdec11f4289da93a4dd51408 | LUTZ | NULL | NULL | 12187106747 | 43080340 | DRENAGEM PERCUTANEA DE COLECAO INFECTADA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 38256 | COLAGENASE PM TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 30376 | BROMETO DE IPRATROPIO 0,25MG/ML SL | 3.2000 | 0.0000 | 3.2000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 30376 | BROMETO DE IPRATROPIO 0,25MG/ML SL | 2.8000 | 0.0000 | 2.8000 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 02461 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12275840246 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22061 | DEXMEDETOMEDINA 100mcg/ml 2ml - Fr | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 22061 | DEXMEDETOMEDINA 100mcg/ml 2ml - Fr | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 17252 | LIDOCAINA 2% GE OU TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 000441 | TAXA DE DELEUCOTIZAÇÃO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 51590 | ABAIXADOR DE LINGUA UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 1.7530 | 4.8470 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 0.6770 | 1.8730 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 0.6560 | 1.8140 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.1350 | 0.3750 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0500 | 0.1400 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 1.5052 | 6.0248 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4730 | 0.5270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1560 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.3176 | 1.2724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8be304aeacbe524953c3876c37c15b0c | OLGA | NULL | NULL | 12235339744 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a3bfb82253860b1398994277c29a8da8 | SEBASTIAO | NULL | NULL | 12311868348 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5270 | 14.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 10.5300 | 14.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.8512 | 0.0688 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4628 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8cb5cbeb57674fe35ebce2beb67175e3 | BENEDITA | NULL | NULL | 12229470940 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8970 | 0.7730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 2309f9ee274d5d199cacf4cf4b9d2584 | MARIA | NULL | NULL | 12309766743 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.2721 | 1.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5130 | 0.2570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3440 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7360 | 0.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4750 | 0.5250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0350 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3720 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3500 | 0.3453 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7530 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.0460 | 0.3540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6600 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12277593340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | d1d2e0b986289681072cfb591ffd68af | EUNICE | NULL | NULL | 12325796035 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7692 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12222565944 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12168772949 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 9fd7295737421db4308cf279834175ae | DARCI | NULL | NULL | 12298116341 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 12235116248 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 8592d8e7b4e764d06f94f55899d4f222 | JOAO | NULL | NULL | 12298099142 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 1845b8565a508e00c60483c5873fb39b | MARIA | NULL | NULL | 12160256440 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 2.7669 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | c11c0ba1f674a1af20b090b5793aa6ca | RAFAEL | NULL | NULL | 12276084143 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7781a83504beb0f6fc1c86041782e8a1 | ELODY | NULL | NULL | 12320802443 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 12213155849 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 68.7792 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12308845646 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dee5a0d03c4673fe8898c0a0fff00916 | ANA | NULL | NULL | 12276505648 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 1.5000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 426cf4e20bb116a6baccd5ee474f8ad4 | MARIA | NULL | NULL | 12276764640 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 171.9480 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12168301248 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 0.0000 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6b0ac0d1a5d1a9e667db52dcec475ab2 | LETICIA | NULL | NULL | 12276757940 | 20893 | SUFENTANILA 50 MCG/ML 5 ML SI IV P | 0.0000 | 17.4583 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 847d542ac0185d1b67689a170ea6b5d9 | NAZARENO | NULL | NULL | 12222614646 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 0.0000 | 19.5800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3883 | 0.0117 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2550 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5200 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00090 | SERINGA DESC 20 ML UN | 0.0000 | 0.5300 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00069 | SERINGA DESC 10 ML UN | 0.0000 | 0.3028 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00651 | GENTAMICINA 80 MG 2 ML SI IQ IM IV OU AP | 0.0000 | 1.2452 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 54678 | HUMULIN | 0.0000 | 0.3000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0000 | 0.8600 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5882 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.5886 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4540 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.4620 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0000 | 2.2820 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 2.2678 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 2.2678 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 6.1788 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 0.0000 | 3.0894 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 0.0000 | 81.1100 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01135 | SONDA URETRAL N 08 UN | 0.0000 | 0.0400 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 0.0000 | 1.5900 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 0.0000 | 3.8174 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 01101 | SONDA FOLEY 2 VIAS N 14 UN | 0.0000 | 3.8174 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 00467 | CLORIDRATO DE LIDOCAINA GENERICO Restrito Hosp. | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12194551940 | 54685 | POLVIDINE ALCOOLICA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 4e13adf421809cb755e1bdd80cc4efed | AGRIPINA | NULL | NULL | 12325730131 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12160378149 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0b0d528834878a853de575d6fda99575 | ANDRE | NULL | NULL | 12276785149 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6988eef2b31341e6d993e8166326e37a | NEILINA | NULL | NULL | 12234622444 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e785894d6ef2ce2accda4533fbd5105a | FABRICIO | NULL | NULL | 12237967240 | 27545 | CAMPO IODOFORADO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12222650141 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 80.2424 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | cfec8246cb6dd6b0209430096d4acc2e | ZILDA | NULL | NULL | 12216841040 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 0.3000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | aabbb106aec6c9e5a8208efb3c05210e | AVELOMAR | NULL | NULL | 12190351843 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | e773b6e9b7dfcb344553a4d7b580ddf1 | ANTONIO | NULL | NULL | 12246874542 | 28959 | DERSANI LC TP ML | 0.0000 | 4.8500 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 5c8ab2d370e46d473148b3824dded22f | LINI | NULL | NULL | 12159460648 | 52353 | ABAIXADOR DE LINGUA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | dae7b92e0827f7ce138f66f330df1add | MAURICIO | NULL | NULL | 12190242740 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 43.8000 | NULL | PROCEDIMENTO REALIZADO DIFERENTE DO | 0404 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 12254218741 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 0f992b408cbd27a95de887ea229c0b26 | JORGINA | NULL | NULL | 12321704643 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | a738edfdd97d0c6fbe8a3a5b1c7c2ade | LUCIA | NULL | NULL | 12312437943 | 000501 | OXIGENIO | 0.0000 | 149.7920 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 10372e0f08cae9e78753fba13a93faaf | MARIA | NULL | NULL | 12244062440 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1056380 | 3c1dc6cfa30e66d5bc1d78a9d59e30db | JOELITA | NULL | NULL | 12263402410 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 0.0000 | NULL | GUIA DE CONSULTA NAO EXECUTADA | 0622 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12259522449 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1055123 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12206898835 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 0.0000 | 2.4800 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 0.0000 | 2.5870 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1783 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 1.8016 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.7224 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.0000 | 0.3567 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.0000 | 0.9609 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 851297c6e963afd1f39f8f41207d7e2b | ANTONIO | NULL | NULL | 12164114640 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 0.0000 | 16.0000 | NULL | VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA | 1714 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0470 | 0.1330 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0390 | 0.1110 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0260 | 0.0740 | ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO | 7701 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00564 | ATROPINA 0,25 MG SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00409 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 03280 | CLOREXIDINA 2 % ST TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00706 | METRONIDAZOL 500 MG 100 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 54653 | DERSANI LC TP ML | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51673 | ALGINATO DE CALCIO EM HIDROGEL GL TP GR | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 51439 | MEROPENEM 1G PO IV FA | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |
| Glosa Min | 2018-04-15 00:00:00.000000 | 1059439 | 7f7eefcd4eb231f6c6f01d90511410df | ARMELINDO | NULL | NULL | 12241540741 | 15010023 | Hemodiálise (Por Sessão) | NULL | 0.0000 | NULL | OPME INVALIDO | 2201 |